Development of Severe Acute Pancreatitis Following Uncovered Metallic Stent Placement: A Rare Case Report

Self-expandable metallic stents (SEMSs) are widely used for malignant biliary stricture (MBS). Acute pancreatitis is an early complication following SEMS placement. In the present case, the patient developed severe acute pancreatitis after SEMS placement for MBS because of metastatic lymph nodes. En...

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Autores principales: Takaoka, Makoto, Shimatani, Masaaki, Takayama, Takuya, Miyoshi, Hideaki, Mitsuyama, Toshiyuki, Masuda, Masataka, Ito, Takashi, Nakamaru, Koh, Miyamoto, Sachi, Tokuhara, Mitsuo, Ikeura, Tsukasa, Okazaki, Kazuichi, Naganuma, Makoto
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8222120/
https://www.ncbi.nlm.nih.gov/pubmed/33390497
http://dx.doi.org/10.2169/internalmedicine.6394-20
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author Takaoka, Makoto
Shimatani, Masaaki
Takayama, Takuya
Miyoshi, Hideaki
Mitsuyama, Toshiyuki
Masuda, Masataka
Ito, Takashi
Nakamaru, Koh
Miyamoto, Sachi
Tokuhara, Mitsuo
Ikeura, Tsukasa
Okazaki, Kazuichi
Naganuma, Makoto
author_facet Takaoka, Makoto
Shimatani, Masaaki
Takayama, Takuya
Miyoshi, Hideaki
Mitsuyama, Toshiyuki
Masuda, Masataka
Ito, Takashi
Nakamaru, Koh
Miyamoto, Sachi
Tokuhara, Mitsuo
Ikeura, Tsukasa
Okazaki, Kazuichi
Naganuma, Makoto
author_sort Takaoka, Makoto
collection PubMed
description Self-expandable metallic stents (SEMSs) are widely used for malignant biliary stricture (MBS). Acute pancreatitis is an early complication following SEMS placement. In the present case, the patient developed severe acute pancreatitis after SEMS placement for MBS because of metastatic lymph nodes. Endoscopic retrograde cholangiopancreatography, endoscopic sphincterotomy and an endoscopic nasobiliary drainage tube placement were performed. After seven days, an uncovered SEMS was placed; however, severe acute pancreatitis occurred, and the SEMS was drawn out emergently. In SEMS placement for patients with MBS caused by non-pancreatic cancer, SEMS should be selected carefully while considering each patient's case.
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spelling pubmed-82221202021-06-27 Development of Severe Acute Pancreatitis Following Uncovered Metallic Stent Placement: A Rare Case Report Takaoka, Makoto Shimatani, Masaaki Takayama, Takuya Miyoshi, Hideaki Mitsuyama, Toshiyuki Masuda, Masataka Ito, Takashi Nakamaru, Koh Miyamoto, Sachi Tokuhara, Mitsuo Ikeura, Tsukasa Okazaki, Kazuichi Naganuma, Makoto Intern Med Case Report Self-expandable metallic stents (SEMSs) are widely used for malignant biliary stricture (MBS). Acute pancreatitis is an early complication following SEMS placement. In the present case, the patient developed severe acute pancreatitis after SEMS placement for MBS because of metastatic lymph nodes. Endoscopic retrograde cholangiopancreatography, endoscopic sphincterotomy and an endoscopic nasobiliary drainage tube placement were performed. After seven days, an uncovered SEMS was placed; however, severe acute pancreatitis occurred, and the SEMS was drawn out emergently. In SEMS placement for patients with MBS caused by non-pancreatic cancer, SEMS should be selected carefully while considering each patient's case. The Japanese Society of Internal Medicine 2020-12-29 2021-06-01 /pmc/articles/PMC8222120/ /pubmed/33390497 http://dx.doi.org/10.2169/internalmedicine.6394-20 Text en Copyright © 2021 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
Takaoka, Makoto
Shimatani, Masaaki
Takayama, Takuya
Miyoshi, Hideaki
Mitsuyama, Toshiyuki
Masuda, Masataka
Ito, Takashi
Nakamaru, Koh
Miyamoto, Sachi
Tokuhara, Mitsuo
Ikeura, Tsukasa
Okazaki, Kazuichi
Naganuma, Makoto
Development of Severe Acute Pancreatitis Following Uncovered Metallic Stent Placement: A Rare Case Report
title Development of Severe Acute Pancreatitis Following Uncovered Metallic Stent Placement: A Rare Case Report
title_full Development of Severe Acute Pancreatitis Following Uncovered Metallic Stent Placement: A Rare Case Report
title_fullStr Development of Severe Acute Pancreatitis Following Uncovered Metallic Stent Placement: A Rare Case Report
title_full_unstemmed Development of Severe Acute Pancreatitis Following Uncovered Metallic Stent Placement: A Rare Case Report
title_short Development of Severe Acute Pancreatitis Following Uncovered Metallic Stent Placement: A Rare Case Report
title_sort development of severe acute pancreatitis following uncovered metallic stent placement: a rare case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8222120/
https://www.ncbi.nlm.nih.gov/pubmed/33390497
http://dx.doi.org/10.2169/internalmedicine.6394-20
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