Percutaneous Transhepatic Self-expanding Metallic Stent Placement for the Treatment of Malignant Afferent Loop Obstruction

We report the case of a 71-year-old man with afferent loop obstruction (ALO) after Roux-en-Y reconstruction due to gastric cancer. Computed tomography showed a distended afferent loop and a dilatated bile duct. We could not reach the stricture site in the afferent loop using a gastroscope. We perfor...

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Autores principales: Jinno, Naruomi, Naitoh, Itaru, Nagura, Yoshihito, Fujioka, Kazutoshi, Mizuno, Yusuke, Momose, Junko, Ooyama, Makoto, Hayashi, Kazuki, Miyaki, Tomokatsu, Nakamura, Makoto, Joh, Takashi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2017
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5827311/
https://www.ncbi.nlm.nih.gov/pubmed/29093418
http://dx.doi.org/10.2169/internalmedicine.9382-17
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author Jinno, Naruomi
Naitoh, Itaru
Nagura, Yoshihito
Fujioka, Kazutoshi
Mizuno, Yusuke
Momose, Junko
Ooyama, Makoto
Hayashi, Kazuki
Miyaki, Tomokatsu
Nakamura, Makoto
Joh, Takashi
author_facet Jinno, Naruomi
Naitoh, Itaru
Nagura, Yoshihito
Fujioka, Kazutoshi
Mizuno, Yusuke
Momose, Junko
Ooyama, Makoto
Hayashi, Kazuki
Miyaki, Tomokatsu
Nakamura, Makoto
Joh, Takashi
author_sort Jinno, Naruomi
collection PubMed
description We report the case of a 71-year-old man with afferent loop obstruction (ALO) after Roux-en-Y reconstruction due to gastric cancer. Computed tomography showed a distended afferent loop and a dilatated bile duct. We could not reach the stricture site in the afferent loop using a gastroscope. We performed percutaneous transhepatic biliary drainage (PTBD) and placed a self-expanding metallic stent (SEMS) in the duodenal stricture through the PTBD route. Although an endoscopic approach is preferable, when PTBD can be performed, percutaneous transhepatic SEMS placement might be an alternative option for treating ALO in cases in which it is not possible to reach the site of stenosis with an endoscope.
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spelling pubmed-58273112018-02-28 Percutaneous Transhepatic Self-expanding Metallic Stent Placement for the Treatment of Malignant Afferent Loop Obstruction Jinno, Naruomi Naitoh, Itaru Nagura, Yoshihito Fujioka, Kazutoshi Mizuno, Yusuke Momose, Junko Ooyama, Makoto Hayashi, Kazuki Miyaki, Tomokatsu Nakamura, Makoto Joh, Takashi Intern Med Case Report We report the case of a 71-year-old man with afferent loop obstruction (ALO) after Roux-en-Y reconstruction due to gastric cancer. Computed tomography showed a distended afferent loop and a dilatated bile duct. We could not reach the stricture site in the afferent loop using a gastroscope. We performed percutaneous transhepatic biliary drainage (PTBD) and placed a self-expanding metallic stent (SEMS) in the duodenal stricture through the PTBD route. Although an endoscopic approach is preferable, when PTBD can be performed, percutaneous transhepatic SEMS placement might be an alternative option for treating ALO in cases in which it is not possible to reach the site of stenosis with an endoscope. The Japanese Society of Internal Medicine 2017-11-01 2018-02-01 /pmc/articles/PMC5827311/ /pubmed/29093418 http://dx.doi.org/10.2169/internalmedicine.9382-17 Text en Copyright © 2018 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/ The Internal Medicine is an Open Access article 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
Jinno, Naruomi
Naitoh, Itaru
Nagura, Yoshihito
Fujioka, Kazutoshi
Mizuno, Yusuke
Momose, Junko
Ooyama, Makoto
Hayashi, Kazuki
Miyaki, Tomokatsu
Nakamura, Makoto
Joh, Takashi
Percutaneous Transhepatic Self-expanding Metallic Stent Placement for the Treatment of Malignant Afferent Loop Obstruction
title Percutaneous Transhepatic Self-expanding Metallic Stent Placement for the Treatment of Malignant Afferent Loop Obstruction
title_full Percutaneous Transhepatic Self-expanding Metallic Stent Placement for the Treatment of Malignant Afferent Loop Obstruction
title_fullStr Percutaneous Transhepatic Self-expanding Metallic Stent Placement for the Treatment of Malignant Afferent Loop Obstruction
title_full_unstemmed Percutaneous Transhepatic Self-expanding Metallic Stent Placement for the Treatment of Malignant Afferent Loop Obstruction
title_short Percutaneous Transhepatic Self-expanding Metallic Stent Placement for the Treatment of Malignant Afferent Loop Obstruction
title_sort percutaneous transhepatic self-expanding metallic stent placement for the treatment of malignant afferent loop obstruction
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5827311/
https://www.ncbi.nlm.nih.gov/pubmed/29093418
http://dx.doi.org/10.2169/internalmedicine.9382-17
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