| Theme | Malignant Biliary Stricture -- Recent Advancements on Diagnosis & Treatment | |
|---|---|---|
| Title | Palliative Treatment for Malignant Biliary Obstruction with Concomitant Duodenal Obstruction | |
| Publish Date | 2014/08 | |
| Author | Yoshihide Kanno | Department of Gastroenterology, Sendai City Medical Center |
| Author | Naotaka Fujita | Department of Gastroenterology, Sendai City Medical Center |
| Author | Yutaka Noda | Department of Gastroenterology, Sendai City Medical Center |
| Author | Kei Ito | Department of Gastroenterology, Sendai City Medical Center |
| [ Summary ] | Palliative double stenting for biliary obstruction and duodenal obstruction is complicated and challenging compared to single stenting for either of these two obstructions. Duodenal stenting with a self-expanding metal stent which can be released through the working channel of an endoscope, endosonography-guided hepaticogastrostomy and choledochoduodenostomy with a metal stent, and percutaneous transhepatic biliary stenting with a self-expanding metal stent in a single session have recently become available. Various methods for double stenting utilizing these newly developed techniques are illustrated. | |