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- Title
Refractory benign biliary stricture due to chronic pancreatitis in two patients treated using endoscopic ultrasound-guided choledochoduodenostomy fistula creation: case reports.
- Authors
Sho Ishikawa; Nozomi Okuno; Kazuo Hara; Nobumasa Mizuno; Shin Haba; Takamichi Kuwahara; Yasuhiro Kuraishi; Takafumi Yanaidani
- Abstract
Benign biliary stricture (BBS) is a complication of chronic pancreatitis (CP). Despite endoscopic biliary stenting, some patients do not respond to treatment, and they experience recurrent cholangitis. We report two cases of CP with refractory BBS treated using endoscopic ultrasound-guided choledochoduodenostomy (EUS-CDS) fistula creation. A 50-year-old woman and a 60-year-old man both presented with obstructive jaundice secondary to BBS due to alcoholic CP. They underwent repeated placement of a fully covered self-expandable metal stent for biliary strictures. However, the strictures persisted, causing repeated episodes of cholangitis. Therefore, an EUS-CDS was performed. The stents were eventually removed and the patients became stent-free. These fistulas have remained patent without cholangitis for more than 2.5 years. Fistula creation using EUS-CDS is an effective treatment option for BBS.
- Subjects
CHOLANGITIS; CHRONIC pancreatitis; FISTULA; OBSTRUCTIVE jaundice
- Publication
Clinical Endoscopy, 2024, Vol 57, Issue 1, p122
- ISSN
2234-2400
- Publication type
Article
- DOI
10.5946/ce.2022.149