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- Title
Self-expandable Metal Stent Placement Combining Double Balloon Endoscopy with a Percutaneous Approach in a Roux-en-Y Hepaticojejunostomy.
- Authors
Koornstra, Jan J.; Alkefaji, Heyder
- Abstract
The use of the double balloon endoscope for ERCP in patients with surgically altered anatomy has shown to be safe and feasible. This technique permits a variety of diagnostic and therapeutic possibilities. A case is presented of a 38-year old male, admitted with jaundice, 8 months after surgery for a malignant liver tumour with construction of a Roux-en-Y hepaticojejunostomy. A stenosis at the site of the biliodigestive anastomosis was diagnosed. Combining double balloon endoscopy with a percutaneous approach in a rendezvous procedure, it was possible to place a self-expandable biliary metal stent. This is the first report of a successful placement of a metallic stent using this technique.
- Subjects
ENDOSCOPY; JAUNDICE; LIVER tumors; STENOSIS; THERAPEUTICS
- Publication
Journal of Gastrointestinal & Liver Diseases, 2009, Vol 18, Issue 3, p375
- ISSN
1841-8724
- Publication type
Case Study