A Case of Direct Peroral Cholangioscopy-Guided Intraductal Radiofrequency Ablation for Malignancy Biliary Obstruction via Choledochoduodenostomy Orifice.
10.15279/kpba.2015.20.3.140
- Author:
Jin Suk KANG
1
;
Dong Uk KIM
;
Jeong Eun LEE
;
Min Ji KIM
;
Geun Am SONG
;
Jeong HEO
;
Dong Hoon BAEK
;
Tae Wook KIM
Author Information
1. Department of Internal Medicine, Pusan National University School of Medicine, Busan, Korea. taewook80@hanmail.net
- Publication Type:Case Report
- Keywords:
Cholangiocarcinoma;
Intraductal radiofrequency ablation;
Direct peroral cholangioscopy
- MeSH:
Aged;
Bile Ducts;
Biliary Tract;
Catheter Ablation*;
Catheters;
Cholangiocarcinoma;
Cholangiopancreatography, Endoscopic Retrograde;
Choledochostomy*;
Female;
Hand;
Humans;
Stents
- From:Korean Journal of Pancreas and Biliary Tract
2015;20(3):140-145
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BAlthough intraductal radiofrequency ablation (RFA) has been reported to be a feasible treatment of malignancy biliary obstruction in unresectable cholangiocarcinoma, endoscopic retrograde cholangiopancreatography (ERCP)-guided intraductal RFA has a disadvantage that cannot be directly visualize the biliary tract using the fluoroscopic image. On the other hand, direct peroral cholangioscopy-guided intraductal RFA is easy to insert catheter and apply treatment by visualizing the bile duct lesions. We present a case of direct peroral cholangioscopy-guided intraductal RFA without biliary stent in 67-year-old woman patient with cholangiocarcinoma for treatment of malignancy biliary obstruction. In the past, she underwent choledochoduodenostomy for intrahepatic stones. She underwent direct peroral cholangioscopy-guided intraductal RFA via choledochoduodenostomy orifice, and biliary patency was preserved for 90days without additional treatment such as biliary stent and severe complication. Direct peroral cholangioscopy-guided intraductal RFA is expected to be able to reduce the complications of the procedure by ensuring the bile duct lesions. Prospective studies with long term follow up are warranted.
