Drainage of Afferent Limb Obstruction via the Trans-gastric-bile Duct Formed after Endoscopic Ultrasound-guided Hepaticogastrostomy in a Patient with Pancreatic Cancer

A 63-year-old man with advanced pancreatic cancer and pyloric obstruction underwent surgical gastrojejunostomy. Malignant biliary obstruction appeared eight months after surgery and was managed with endoscopic ultrasound (EUS)-guided hepaticogastrostomy (HGS). Subsequently, afferent limb obstruction...

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Autores principales: Mabuchi, Masatoshi, Adachi, Seiji, Uno, Yukari, Nakamura, Hironori, Shimazaki, Makoto, Nishiwaki, Shinji, Kumazawa, Iwao, Iwashita, Takuji, Shimizu, Masahito
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2022
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10484768/
https://www.ncbi.nlm.nih.gov/pubmed/36517033
http://dx.doi.org/10.2169/internalmedicine.1002-22
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author Mabuchi, Masatoshi
Adachi, Seiji
Uno, Yukari
Nakamura, Hironori
Shimazaki, Makoto
Nishiwaki, Shinji
Kumazawa, Iwao
Iwashita, Takuji
Shimizu, Masahito
author_facet Mabuchi, Masatoshi
Adachi, Seiji
Uno, Yukari
Nakamura, Hironori
Shimazaki, Makoto
Nishiwaki, Shinji
Kumazawa, Iwao
Iwashita, Takuji
Shimizu, Masahito
author_sort Mabuchi, Masatoshi
collection PubMed
description A 63-year-old man with advanced pancreatic cancer and pyloric obstruction underwent surgical gastrojejunostomy. Malignant biliary obstruction appeared eight months after surgery and was managed with endoscopic ultrasound (EUS)-guided hepaticogastrostomy (HGS). Subsequently, afferent limb obstruction caused by cancer invasion occurred. Although an intestinal metal stent could not be placed, a biliary metal stent was deployed via the HGS route, which successfully decompressed the afferent limb; the abdominal symptoms subsequently disappeared. In future similar cases, decompression of the dilated intestine through the HGS and biliary stent might be a viable treatment option.
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spelling pubmed-104847682023-09-09 Drainage of Afferent Limb Obstruction via the Trans-gastric-bile Duct Formed after Endoscopic Ultrasound-guided Hepaticogastrostomy in a Patient with Pancreatic Cancer Mabuchi, Masatoshi Adachi, Seiji Uno, Yukari Nakamura, Hironori Shimazaki, Makoto Nishiwaki, Shinji Kumazawa, Iwao Iwashita, Takuji Shimizu, Masahito Intern Med Case Report A 63-year-old man with advanced pancreatic cancer and pyloric obstruction underwent surgical gastrojejunostomy. Malignant biliary obstruction appeared eight months after surgery and was managed with endoscopic ultrasound (EUS)-guided hepaticogastrostomy (HGS). Subsequently, afferent limb obstruction caused by cancer invasion occurred. Although an intestinal metal stent could not be placed, a biliary metal stent was deployed via the HGS route, which successfully decompressed the afferent limb; the abdominal symptoms subsequently disappeared. In future similar cases, decompression of the dilated intestine through the HGS and biliary stent might be a viable treatment option. The Japanese Society of Internal Medicine 2022-12-14 2023-08-15 /pmc/articles/PMC10484768/ /pubmed/36517033 http://dx.doi.org/10.2169/internalmedicine.1002-22 Text en Copyright © 2023 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/The Internal Medicine is an Open Access journal distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Mabuchi, Masatoshi
Adachi, Seiji
Uno, Yukari
Nakamura, Hironori
Shimazaki, Makoto
Nishiwaki, Shinji
Kumazawa, Iwao
Iwashita, Takuji
Shimizu, Masahito
Drainage of Afferent Limb Obstruction via the Trans-gastric-bile Duct Formed after Endoscopic Ultrasound-guided Hepaticogastrostomy in a Patient with Pancreatic Cancer
title Drainage of Afferent Limb Obstruction via the Trans-gastric-bile Duct Formed after Endoscopic Ultrasound-guided Hepaticogastrostomy in a Patient with Pancreatic Cancer
title_full Drainage of Afferent Limb Obstruction via the Trans-gastric-bile Duct Formed after Endoscopic Ultrasound-guided Hepaticogastrostomy in a Patient with Pancreatic Cancer
title_fullStr Drainage of Afferent Limb Obstruction via the Trans-gastric-bile Duct Formed after Endoscopic Ultrasound-guided Hepaticogastrostomy in a Patient with Pancreatic Cancer
title_full_unstemmed Drainage of Afferent Limb Obstruction via the Trans-gastric-bile Duct Formed after Endoscopic Ultrasound-guided Hepaticogastrostomy in a Patient with Pancreatic Cancer
title_short Drainage of Afferent Limb Obstruction via the Trans-gastric-bile Duct Formed after Endoscopic Ultrasound-guided Hepaticogastrostomy in a Patient with Pancreatic Cancer
title_sort drainage of afferent limb obstruction via the trans-gastric-bile duct formed after endoscopic ultrasound-guided hepaticogastrostomy in a patient with pancreatic cancer
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10484768/
https://www.ncbi.nlm.nih.gov/pubmed/36517033
http://dx.doi.org/10.2169/internalmedicine.1002-22
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