Duodenal Metal Stent Placement after Endoscopic Ultrasonography-Guided Choledochoduodenostomy for Bile Duct Obstruction with Duodenal Stenosis: A Case Report
- VernacularTitle:超音波内視鏡下胆管十二指腸吻合術のステントに意図的に干渉し肛門側端を覆う形で十二指腸ステント留置術を行なうことが有用であった1例
- Author:
Koji TAKAHASHI
1
Author Information
- From:Journal of the Japanese Association of Rural Medicine 2020;69(2):171-176
- CountryJapan
- Language:Japanese
- Abstract: An 87-year-old woman developed anorexia and jaundice. Contrast-enhanced computed tomography revealed a tumor of the duodenal papillae. Percutaneous transhepatic biliary drainage was performed instead of transpapillary biliary drainage due to stenosis of the duodenum. She complained of pain at the insertion site of the percutaneous drainage tube, and endoscopic ultrasonography-guided choledochoduodenostomy (EUS-CDS) was performed. A duodenal stent was placed 3 days later. The percutaneous biliary drainage tube was removed, and her recovery was uneventful. She was subsequently discharged. No further treatment for biliary or gastrointestinal tract system was needed. She died 146 days after EUS-CDS.