A Unique Use of a Double-Pigtail Plastic Stent: Correction of Kinking of the Common Bile Duct Due to a Metal Stent

A 72-year-old man with jaundice by ampullary adenocarcinoma was treated at our hospital. For biliary decompression, a transpapillary, fully covered, self-expandable metal stent (FCSEMS) was deployed. Four days later, the patient developed acute cholangitis. Endoscopic carbon dioxide cholangiography...

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Autores principales: Kuwatani, Masaki, Kawakami, Hiroshi, Abe, Yoko, Kawahata, Shuhei, Kawakubo, Kazumichi, Kubo, Kimitoshi, Sakamoto, Naoya
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Gut and Liver 2015
Materias:
Brief Communication
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4351034/
https://www.ncbi.nlm.nih.gov/pubmed/25721004
http://dx.doi.org/10.5009/gnl14286
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author Kuwatani, Masaki
Kawakami, Hiroshi
Abe, Yoko
Kawahata, Shuhei
Kawakubo, Kazumichi
Kubo, Kimitoshi
Sakamoto, Naoya
author_facet Kuwatani, Masaki
Kawakami, Hiroshi
Abe, Yoko
Kawahata, Shuhei
Kawakubo, Kazumichi
Kubo, Kimitoshi
Sakamoto, Naoya
author_sort Kuwatani, Masaki
collection PubMed
description A 72-year-old man with jaundice by ampullary adenocarcinoma was treated at our hospital. For biliary decompression, a transpapillary, fully covered, self-expandable metal stent (FCSEMS) was deployed. Four days later, the patient developed acute cholangitis. Endoscopic carbon dioxide cholangiography revealed kinking of the common bile duct above the proximal end of the FCSEMS. A 7-F double-pigtail plastic stent was therefore placed through the FCSEMS to correct the kink, straightening the common bile duct (CBD) and improving cholangitis. This is the first report of a unique use of a double-pigtail plastic stent to correct CBD kinking. The placement of a double-pigtail plastic stent can correct CBD kinking, without requiring replacement or addition of a FCSEMS, and can lead to cost savings.
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spelling pubmed-43510342015-03-12 A Unique Use of a Double-Pigtail Plastic Stent: Correction of Kinking of the Common Bile Duct Due to a Metal Stent Kuwatani, Masaki Kawakami, Hiroshi Abe, Yoko Kawahata, Shuhei Kawakubo, Kazumichi Kubo, Kimitoshi Sakamoto, Naoya Gut Liver Brief Communication A 72-year-old man with jaundice by ampullary adenocarcinoma was treated at our hospital. For biliary decompression, a transpapillary, fully covered, self-expandable metal stent (FCSEMS) was deployed. Four days later, the patient developed acute cholangitis. Endoscopic carbon dioxide cholangiography revealed kinking of the common bile duct above the proximal end of the FCSEMS. A 7-F double-pigtail plastic stent was therefore placed through the FCSEMS to correct the kink, straightening the common bile duct (CBD) and improving cholangitis. This is the first report of a unique use of a double-pigtail plastic stent to correct CBD kinking. The placement of a double-pigtail plastic stent can correct CBD kinking, without requiring replacement or addition of a FCSEMS, and can lead to cost savings. Gut and Liver 2015-03 2015-03-15 /pmc/articles/PMC4351034/ /pubmed/25721004 http://dx.doi.org/10.5009/gnl14286 Text en Copyright © 2015 by The Korean Society of Gastroenterology, the Korean Society of Gastrointestinal Endoscopy, the Korean Society of Neurogastroenterology and Motility, Korean College of Helicobacter and Upper Gastrointestinal Research, Korean Association for the Study of Intestinal Diseases, the Korean Association for the Study of the Liver, Korean Pancreatobiliary Association, and Korean Society of Gastrointestinal Cancer. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Brief Communication
Kuwatani, Masaki
Kawakami, Hiroshi
Abe, Yoko
Kawahata, Shuhei
Kawakubo, Kazumichi
Kubo, Kimitoshi
Sakamoto, Naoya
A Unique Use of a Double-Pigtail Plastic Stent: Correction of Kinking of the Common Bile Duct Due to a Metal Stent
title A Unique Use of a Double-Pigtail Plastic Stent: Correction of Kinking of the Common Bile Duct Due to a Metal Stent
title_full A Unique Use of a Double-Pigtail Plastic Stent: Correction of Kinking of the Common Bile Duct Due to a Metal Stent
title_fullStr A Unique Use of a Double-Pigtail Plastic Stent: Correction of Kinking of the Common Bile Duct Due to a Metal Stent
title_full_unstemmed A Unique Use of a Double-Pigtail Plastic Stent: Correction of Kinking of the Common Bile Duct Due to a Metal Stent
title_short A Unique Use of a Double-Pigtail Plastic Stent: Correction of Kinking of the Common Bile Duct Due to a Metal Stent
title_sort unique use of a double-pigtail plastic stent: correction of kinking of the common bile duct due to a metal stent
topic Brief Communication
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4351034/
https://www.ncbi.nlm.nih.gov/pubmed/25721004
http://dx.doi.org/10.5009/gnl14286
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