Endoscopic Biliary Drainage Using Guidewire Cannulation in a Case with Severe Duodenal Stenosis Caused by Duodenal Undifferentiated Carcinoma

We present a case of duodenal carcinoma, 12 cm in size, with severe stenosis at the second portion of the duodenum. When the patient developed obstructive jaundice, it was impossible to perform endoscopic biliary drainage by standard cannulation due to the stenosis, but was succeeded by wire-guided...

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Autores principales: Matsubayashi, Hiroyuki, Kakushima, Naomi, Onozawa, Yusuke, Sasaki, Keiko, Uesaka, Katsuhiko, Ono, Hiroyuki
Formato: Texto
Lenguaje:English
Publicado: S. Karger AG 2010
Materias:
Published: February 2010
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2988893/
https://www.ncbi.nlm.nih.gov/pubmed/21103223
http://dx.doi.org/10.1159/000254613
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author Matsubayashi, Hiroyuki
Kakushima, Naomi
Onozawa, Yusuke
Sasaki, Keiko
Uesaka, Katsuhiko
Ono, Hiroyuki
author_facet Matsubayashi, Hiroyuki
Kakushima, Naomi
Onozawa, Yusuke
Sasaki, Keiko
Uesaka, Katsuhiko
Ono, Hiroyuki
author_sort Matsubayashi, Hiroyuki
collection PubMed
description We present a case of duodenal carcinoma, 12 cm in size, with severe stenosis at the second portion of the duodenum. When the patient developed obstructive jaundice, it was impossible to perform endoscopic biliary drainage by standard cannulation due to the stenosis, but was succeeded by wire-guided cannulation using papillotome. Histology of the tumor showed undifferentiated carcinoma without differentiation to any specific cell type. Systemic chemotherapy was started with 5-FU, leucovorin and oxaliplatin. Biliary stent worked well until the patient succumbed three months after. Herein we demonstrate the new advantage of wire-guided cannulation in case of duodenal stenosis.
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spelling pubmed-29888932010-11-22 Endoscopic Biliary Drainage Using Guidewire Cannulation in a Case with Severe Duodenal Stenosis Caused by Duodenal Undifferentiated Carcinoma Matsubayashi, Hiroyuki Kakushima, Naomi Onozawa, Yusuke Sasaki, Keiko Uesaka, Katsuhiko Ono, Hiroyuki Case Rep Gastroenterol Published: February 2010 We present a case of duodenal carcinoma, 12 cm in size, with severe stenosis at the second portion of the duodenum. When the patient developed obstructive jaundice, it was impossible to perform endoscopic biliary drainage by standard cannulation due to the stenosis, but was succeeded by wire-guided cannulation using papillotome. Histology of the tumor showed undifferentiated carcinoma without differentiation to any specific cell type. Systemic chemotherapy was started with 5-FU, leucovorin and oxaliplatin. Biliary stent worked well until the patient succumbed three months after. Herein we demonstrate the new advantage of wire-guided cannulation in case of duodenal stenosis. S. Karger AG 2010-02-03 /pmc/articles/PMC2988893/ /pubmed/21103223 http://dx.doi.org/10.1159/000254613 Text en Copyright © 2010 by S. Karger AG, Basel http://creativecommons.org/licenses/by-nc-nd/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution-Noncommercial-No-Derivative-Works License (http://creativecommons.org/licenses/by-nc-nd/3.0/). Users may download, print and share this work on the Internet for noncommercial purposes only, provided the original work is properly cited, and a link to the original work on http://www.karger.com and the terms of this license are included in any shared versions.
spellingShingle Published: February 2010
Matsubayashi, Hiroyuki
Kakushima, Naomi
Onozawa, Yusuke
Sasaki, Keiko
Uesaka, Katsuhiko
Ono, Hiroyuki
Endoscopic Biliary Drainage Using Guidewire Cannulation in a Case with Severe Duodenal Stenosis Caused by Duodenal Undifferentiated Carcinoma
title Endoscopic Biliary Drainage Using Guidewire Cannulation in a Case with Severe Duodenal Stenosis Caused by Duodenal Undifferentiated Carcinoma
title_full Endoscopic Biliary Drainage Using Guidewire Cannulation in a Case with Severe Duodenal Stenosis Caused by Duodenal Undifferentiated Carcinoma
title_fullStr Endoscopic Biliary Drainage Using Guidewire Cannulation in a Case with Severe Duodenal Stenosis Caused by Duodenal Undifferentiated Carcinoma
title_full_unstemmed Endoscopic Biliary Drainage Using Guidewire Cannulation in a Case with Severe Duodenal Stenosis Caused by Duodenal Undifferentiated Carcinoma
title_short Endoscopic Biliary Drainage Using Guidewire Cannulation in a Case with Severe Duodenal Stenosis Caused by Duodenal Undifferentiated Carcinoma
title_sort endoscopic biliary drainage using guidewire cannulation in a case with severe duodenal stenosis caused by duodenal undifferentiated carcinoma
topic Published: February 2010
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2988893/
https://www.ncbi.nlm.nih.gov/pubmed/21103223
http://dx.doi.org/10.1159/000254613
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