Hilar Malignant Biliary Obstruction Treated with Four Metallic Stents Involving a New Slim Device

Endoscopic hilar multiple stenting is challenging. A 68-year-old patient had self-expandable metallic stents (SEMSs) inserted for unresectable hilar malignant biliary obstruction. After the SEMSs were inserted into the left hepatic duct and bile duct branch of segment (B) 6, a new SEMS with a wide m...

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Autores principales: Noguchi, Yuki, Sugimoto, Mitsuru, Kiko, Yuichiro, Takagi, Tadayuki, Suzuki, Rei, Konno, Naoki, Asama, Hiroyuki, Sato, Yuki, Irie, Hiroki, Nakamura, Jun, Takasumi, Mika, Hashimoto, Minami, Kato, Tsunetaka, Kobashi, Ryoichiro, Hashimoto, Yuko, Hikichi, Takuto, Ohira, Hiromasa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8263184/
https://www.ncbi.nlm.nih.gov/pubmed/33518571
http://dx.doi.org/10.2169/internalmedicine.6356-20
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author Noguchi, Yuki
Sugimoto, Mitsuru
Kiko, Yuichiro
Takagi, Tadayuki
Suzuki, Rei
Konno, Naoki
Asama, Hiroyuki
Sato, Yuki
Irie, Hiroki
Nakamura, Jun
Takasumi, Mika
Hashimoto, Minami
Kato, Tsunetaka
Kobashi, Ryoichiro
Hashimoto, Yuko
Hikichi, Takuto
Ohira, Hiromasa
author_facet Noguchi, Yuki
Sugimoto, Mitsuru
Kiko, Yuichiro
Takagi, Tadayuki
Suzuki, Rei
Konno, Naoki
Asama, Hiroyuki
Sato, Yuki
Irie, Hiroki
Nakamura, Jun
Takasumi, Mika
Hashimoto, Minami
Kato, Tsunetaka
Kobashi, Ryoichiro
Hashimoto, Yuko
Hikichi, Takuto
Ohira, Hiromasa
author_sort Noguchi, Yuki
collection PubMed
description Endoscopic hilar multiple stenting is challenging. A 68-year-old patient had self-expandable metallic stents (SEMSs) inserted for unresectable hilar malignant biliary obstruction. After the SEMSs were inserted into the left hepatic duct and bile duct branch of segment (B) 6, a new SEMS with a wide mesh and slim delivery system was inserted into the right anterior hepatic duct. However, liver abscess and dilated B7 were observed on computed tomography; therefore, an additional new SEMS was quickly and easily inserted into B7. After the placement of these four SEMSs, the liver abscess improved. The new SEMS was effective for hilar multiple biliary drainage.
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spelling pubmed-82631842021-07-12 Hilar Malignant Biliary Obstruction Treated with Four Metallic Stents Involving a New Slim Device Noguchi, Yuki Sugimoto, Mitsuru Kiko, Yuichiro Takagi, Tadayuki Suzuki, Rei Konno, Naoki Asama, Hiroyuki Sato, Yuki Irie, Hiroki Nakamura, Jun Takasumi, Mika Hashimoto, Minami Kato, Tsunetaka Kobashi, Ryoichiro Hashimoto, Yuko Hikichi, Takuto Ohira, Hiromasa Intern Med Case Report Endoscopic hilar multiple stenting is challenging. A 68-year-old patient had self-expandable metallic stents (SEMSs) inserted for unresectable hilar malignant biliary obstruction. After the SEMSs were inserted into the left hepatic duct and bile duct branch of segment (B) 6, a new SEMS with a wide mesh and slim delivery system was inserted into the right anterior hepatic duct. However, liver abscess and dilated B7 were observed on computed tomography; therefore, an additional new SEMS was quickly and easily inserted into B7. After the placement of these four SEMSs, the liver abscess improved. The new SEMS was effective for hilar multiple biliary drainage. The Japanese Society of Internal Medicine 2021-02-01 2021-06-15 /pmc/articles/PMC8263184/ /pubmed/33518571 http://dx.doi.org/10.2169/internalmedicine.6356-20 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
Noguchi, Yuki
Sugimoto, Mitsuru
Kiko, Yuichiro
Takagi, Tadayuki
Suzuki, Rei
Konno, Naoki
Asama, Hiroyuki
Sato, Yuki
Irie, Hiroki
Nakamura, Jun
Takasumi, Mika
Hashimoto, Minami
Kato, Tsunetaka
Kobashi, Ryoichiro
Hashimoto, Yuko
Hikichi, Takuto
Ohira, Hiromasa
Hilar Malignant Biliary Obstruction Treated with Four Metallic Stents Involving a New Slim Device
title Hilar Malignant Biliary Obstruction Treated with Four Metallic Stents Involving a New Slim Device
title_full Hilar Malignant Biliary Obstruction Treated with Four Metallic Stents Involving a New Slim Device
title_fullStr Hilar Malignant Biliary Obstruction Treated with Four Metallic Stents Involving a New Slim Device
title_full_unstemmed Hilar Malignant Biliary Obstruction Treated with Four Metallic Stents Involving a New Slim Device
title_short Hilar Malignant Biliary Obstruction Treated with Four Metallic Stents Involving a New Slim Device
title_sort hilar malignant biliary obstruction treated with four metallic stents involving a new slim device
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8263184/
https://www.ncbi.nlm.nih.gov/pubmed/33518571
http://dx.doi.org/10.2169/internalmedicine.6356-20
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