Acute Duodenal Obstruction after Percutaneous Placement of Metallic Biliary Stents: Peroral Treatment with Enteral Stents

被引:0
作者
Jorge E. Lopera
Oscar A. Alvarez
Joseph Perdigao
Wilfrido Castañeda-Zuñiga
机构
[1] Department of Radiology, Louisiana State University, New Orleans, LA 70112
[2] Department of Gastroenterology, Hosp. Univ. San Vicente de Paul, Universidad de Antioquia, Medellin
关键词
Bile ducts; stenosis or obstruction; stents and prostheses; Duodenum; Gastrointestinal tract; interventional procedures; Stents and prostheses;
D O I
10.1007/s00270-003-2711-0
中图分类号
学科分类号
摘要
Three patients with malignant biliary obstruction were treated with placement of metallic biliary stents. Two patients had known partial duodenal stenosis but had no symptoms of gastrointestinal obstruction. The patients developed symptomatic duodenal obstruction early after biliary metallic stent placement. The symptomatic duodenal obstructions were successfully treated with peroral placement of duodenal stents, which obviated the need for surgical intervention.
引用
收藏
页码:471 / 474
页数:3
相关论文
共 16 条
[1]  
Jung G.S., Song H.Y., Kang S.G., Et al., Malignant gastroduodenal obstructions: Treatment by means of a covered expandable metallic stent. Initial experience, Radiology, 216, pp. 758-763, (2000)
[2]  
Maetani I., Ogawa S., Hoshi H., Et al., Self-expanding metal stents for palliative treatment of biliary and duodenal stenosis, Endoscopy, 26, pp. 701-704, (1994)
[3]  
Potts J.R., Broughan T.A., Hermann R.E., Palliative operations for pancreatic carcinoma, Am J Surg, 159, pp. 2-78, (1990)
[4]  
Lillemoe K.D., Cameron J.L., Hardacre J.M., Sauter P.K., Coleman J., Pitt H.A., Yeo C.J., Is prophylactic gastrojejunostomy indicated for unresectable periampullary cancer? A prospective randomized trial, Ann Surg, 230, pp. 322-328, (1999)
[5]  
Hyodo T., Yoshida Y., Yamanada T., Imawari M., Duodenal stenosis after endoscopic biliary metallic stent placement for malignant biliary stenosis, Gastrointest Endosc, 52, pp. 64-66, (2000)
[6]  
Sarr M.G., Gaden H.E., Van Herden J.A., Role of gastroenterostomy in patients with unresectable carcinoma of the pancreas, Surg Gynecol Obstet, 152, pp. 597-600, (1981)
[7]  
England R.E., Martin D.F., Endoscopic and percataneous intervention in malignant obstructive jaundice, Cardiovasc Intervent Radiol, 19, pp. 81-387, (1996)
[8]  
Lammer J., Winkelbauer F., Kontrus M., Thurnher S., Plastic versus metallic biliary endoprothesis, Semin Interv Radiol, 13, pp. 253-261, (1996)
[9]  
Nagy A., Brosseuk D., Memming A., Seudamore C., Mamazza J., Laparoscopic gastroenterostomy for duodenal obstruction, Am J Surg, 169, pp. 539-542, (1995)
[10]  
Watanapa P., Williamson R.C.N., Palliation for pancreatic cancer: Developments during the past two decades, Br J Surg, 79, pp. 8-20, (1992)