| Theme | Stenting for Digestive Diseases | |
|---|---|---|
| Title | Double Stenting for Treatment of Malignant Biliary Tract Strictures and Duodenal Obstruction | |
| Publish Date | 2019/09 | |
| Author | Katsuko Hatayama | Department of Gastroenterology, Fukuoka University Chikushi Hospital |
| Author | Hiroaki Hiratsuka | Department of Gastroenterology, Fukuoka University Chikushi Hospital |
| Author | Ryo Ihara | Department of Gastroenterology, Fukuoka University Chikushi Hospital |
| Author | Rintaro Nagayama | Department of Gastroenterology, Fukuoka University Chikushi Hospital |
| Author | Toru Maruo | Department of Gastroenterology, Fukuoka University Chikushi Hospital |
| Author | Toshiharu Ueki | Department of Gastroenterology, Fukuoka University Chikushi Hospital |
| [ Summary ] | Malignant biliary tract strictures and duodenal obstruction are serious complications in patients with non‒resectable biliary tract and pancreatic carcinoma. Biliary tract strictures are treated with choledochojejunostomy, endoscopic retrograde biliary drainage (ERBD), percutaneous transhepatic biliary drainage (PTBD), and endoscopic ultrasound‒guided biliary drainage (EUS‒BD). Duodenal obstruction is treated with gastrojejunostomy and endoscopic stenting. Recently, we are attempting both, biliary and duodenal stent placement in patients with biliary tract strictures with duodenal obstruction (endoscopic double stenting). Although double stenting is a minimally invasive useful treatment strategy, the indications and techniques associated with this approach warrant careful consideration. | |