Endoscopic double-metallic stenting for malignant biliary and duodenal obstructions
DC Field | Value | Language |
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dc.contributor.author | Moon, Jong Ho | - |
dc.contributor.author | Choi, Hyun Jong | - |
dc.date.accessioned | 2021-08-12T05:24:54Z | - |
dc.date.available | 2021-08-12T05:24:54Z | - |
dc.date.issued | 2011-09 | - |
dc.identifier.issn | 1868-6974 | - |
dc.identifier.issn | 1868-6982 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/16282 | - |
dc.description.abstract | Background Endoscopic metallic stenting is a safe, effective treatment for malignant biliary obstructions, but can be technically difficult when combined malignant biliary and duodenal obstructions exist. Available duodenal metallic stents feature a tight mesh unsuitable for transpapillary biliary stenting. We evaluated the feasibility and usefulness of new endoscopic procedures for endoscopic double-stent placement in managing such obstructions. Methods The through-the-scope duodenal metallic stent has a central cross-wired, unfixed structure that allows insertion of the biliary stent through the mesh wall of a duodenal stent. Transpapillary endoscopic placement of a biliary stent was performed through the lumen of this duodenal stent. Endoscopic ultrasound (EUS)-guided biliary drainage was performed successfully through the duodenal bulb after puncturing with a 19G needle. Biliary metallic stenting through the choledochoduodenal tract and effective drainage were achieved. Conclusions Use of a combined endoscopic biliary and duodenal stent inserted through the mesh of the new duodenal metallic stent is feasible and effective in managing the aforementioned obstructions. EUS-guided biliary metal stenting is a therapeutic option for endoscopic management when a failed transpapillary approach through the lumen of the duodenal stent occurs. The continued development of endoscopic procedures and devices should resolve issues associated with complicated strictures. | - |
dc.format.extent | 6 | - |
dc.language | 영어 | - |
dc.language.iso | ENG | - |
dc.publisher | Springer Verlag | - |
dc.title | Endoscopic double-metallic stenting for malignant biliary and duodenal obstructions | - |
dc.type | Article | - |
dc.publisher.location | 미국 | - |
dc.identifier.doi | 10.1007/s00534-011-0409-2 | - |
dc.identifier.wosid | 000292216800007 | - |
dc.identifier.bibliographicCitation | Journal of Hepato-Biliary-Pancreatic Sciences, v.18, no.5, pp 658 - 663 | - |
dc.citation.title | Journal of Hepato-Biliary-Pancreatic Sciences | - |
dc.citation.volume | 18 | - |
dc.citation.number | 5 | - |
dc.citation.startPage | 658 | - |
dc.citation.endPage | 663 | - |
dc.type.docType | Article | - |
dc.description.isOpenAccess | N | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Gastroenterology & Hepatology | - |
dc.relation.journalResearchArea | Surgery | - |
dc.relation.journalWebOfScienceCategory | Gastroenterology & Hepatology | - |
dc.relation.journalWebOfScienceCategory | Surgery | - |
dc.subject.keywordPlus | GASTRIC OUTLET | - |
dc.subject.keywordPlus | FOLLOW-UP | - |
dc.subject.keywordPlus | PALLIATION | - |
dc.subject.keywordPlus | PLACEMENT | - |
dc.subject.keywordPlus | DRAINAGE | - |
dc.subject.keywordPlus | INSERTION | - |
dc.subject.keywordAuthor | Duodenal metallic stent | - |
dc.subject.keywordAuthor | Biliary metallic stent | - |
dc.subject.keywordAuthor | Stent in stent placement | - |
dc.subject.keywordAuthor | Malignant biliary obstruction | - |
dc.subject.keywordAuthor | Malignant duodenal obstruction | - |
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