Transhepatic insertion of a metallic stent for the relief of malignant afferent loop obstruction

A 65-year-old man with a polya gastrectomy presented with biliary obstruction. Percutaneous cholangiography indicated strictures of the distal common bile duct and afferent duodenal loop due to an inoperable carcinoma of the head of the pancreas. The patient was unfit for bypass surgery, and a previ...

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Bibliographic Details
Published in:Cardiovascular and interventional radiology 2000-03, Vol.23 (2), p.138-140
Main Authors: CALDICOTT, D. G. E, ZIPRIN, P, MORGAN, R
Format: Article
Language:English
Subjects:
Afferent Loop Syndrome - etiology
Afferent Loop Syndrome - therapy
Aged
Bile
BILIARY TRACT
Biological and medical sciences
BYPASSES
CARCINOMAS
Diseases of the digestive system
GASTRECTOMY
Humans
Male
Medical sciences
PANCREAS
Pancreatic Neoplasms - complications
PATIENTS
RADIOLOGY AND NUCLEAR MEDICINE
Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)
Stents
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Summary:A 65-year-old man with a polya gastrectomy presented with biliary obstruction. Percutaneous cholangiography indicated strictures of the distal common bile duct and afferent duodenal loop due to an inoperable carcinoma of the head of the pancreas. The patient was unfit for bypass surgery, and a previous gastrectomy precluded endoscopic intervention. Successful palliation of the biliary obstruction was achieved by placing metallic stents across the duodenal and biliary strictures via the transhepatic route. The use of stents for gastrointestinal stricture is reviewed.
ISSN:0174-1551
1432-086X
DOI:10.1007/s002709910027