Combination of Endoscopic Retrograde Cholangiopancreatography and Endoscopic Ultrasound-Guided Hepaticogastrostomy for Recurrent Cholangitis in Distal Cholangiocarcinoma: A Case Report
- VernacularTitle:反復する胆管炎に対し経乳頭的胆道ドレナージと超音波内視鏡下胆管胃吻合術を組み合わせて加療した遠位胆管癌の1例
- Author:
Koji TAKAHASHI
1
Author Information
- From:Journal of the Japanese Association of Rural Medicine 2021;70(4):382-386
- CountryJapan
- Language:Japanese
- Abstract: An 86-year-old man diagnosed with distal cholangiocarcinoma was treated with uncovered biliary metal stent placement. The metal stent was occluded due to growth of the tumor into the stent. Although he underwent placement of two additional plastic stents in the metal stent, the plastic stents were also rapidly occluded. He was admitted and underwent transpapillary exchange of the plastic stents. Five days later, endoscopic ultrasound-guided hepaticogastrostomy (EUS-HGS) was performed using a plastic stent. The patient had no recurrence of cholangitis thereafter and was discharged 42 days after EUS-HGS.
