Gastrointestinal Intervention  2016;5(1):80-83

doi:10.18528/gii150033

Percutaneous transgastric stenting of proximal jejunal obstruction secondary to direct invasion of a pancreatic carcinoma.

Timothy Joseph S ORILLAZA 1 ; Jinoo KIM ; Je Hwan WON

Affiliations

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Keywords

Fluoroscopy; Jejunum; Self-expandable metallic stent

Country

Republic of Korea

Language

English

Abstract

Pancreatic cancer has been identified as one of the most common malignant causes of upper gastrointestinal obstruction. Most common sites of obstruction include the pyloric region and second and third portions of the duodenum. If surgical gastrojejunostomy is not a viable option, metallic stent placement may be performed either by transoral or transgastric approach. Transgastric technique is considered to be more invasive and is often employed only in failed attempts to insert a stent using transoral technique. This report presents a 70-year-old patient with pancreatic cancer involving the proximal jejunum. Although this is a rarely described location for stenting, the patient was successfully treated using transgastric technique.