Combined Endoscopic Stent-In-Stent Placement by Lumen-Apposing Metal Stents Through Self-Expanding Metal Stents for Simultaneous Malignant Biliary and Duodenal Obstruction

The palliation of simultaneous biliary and duodenal obstruction in patients with advanced pancreatic cancer is a clinically and technically challenging scenario. Endoscopic procedures are a valid alternative to surgical or percutaneous transhepatic biliary drainage. The availability of self-expandin...

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Autores principales: Metelli, Flavio, Pezzoli, Alessandro, Fabbri, Carlo, Pizzo, Elena, Arena, Rosario, Cifalà, Viviana, Simone, Loredana, Solimando, Riccardo, Merighi, Alberto
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8613338/
https://www.ncbi.nlm.nih.gov/pubmed/34841002
http://dx.doi.org/10.14309/crj.0000000000000704
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author Metelli, Flavio
Pezzoli, Alessandro
Fabbri, Carlo
Pizzo, Elena
Arena, Rosario
Cifalà, Viviana
Simone, Loredana
Solimando, Riccardo
Merighi, Alberto
author_facet Metelli, Flavio
Pezzoli, Alessandro
Fabbri, Carlo
Pizzo, Elena
Arena, Rosario
Cifalà, Viviana
Simone, Loredana
Solimando, Riccardo
Merighi, Alberto
author_sort Metelli, Flavio
collection PubMed
description The palliation of simultaneous biliary and duodenal obstruction in patients with advanced pancreatic cancer is a clinically and technically challenging scenario. Endoscopic procedures are a valid alternative to surgical or percutaneous transhepatic biliary drainage. The availability of self-expanding metal stents (SEMSs) and lumen-apposing metal stents (LAMS) have expanded therapeutic options. We describe a case in which biliary and duodenal obstructions were treated successfully with the combined use of SEMS and LAMS devices. Endoscopic ultrasound-guided biliary drainage with the use of new LAMS and a duodenal SEMS can be a valid option in expert hands as a palliative and minimally invasive treatment for gastric outlet and biliary obstruction.
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spelling pubmed-86133382021-11-26 Combined Endoscopic Stent-In-Stent Placement by Lumen-Apposing Metal Stents Through Self-Expanding Metal Stents for Simultaneous Malignant Biliary and Duodenal Obstruction Metelli, Flavio Pezzoli, Alessandro Fabbri, Carlo Pizzo, Elena Arena, Rosario Cifalà, Viviana Simone, Loredana Solimando, Riccardo Merighi, Alberto ACG Case Rep J Case Report The palliation of simultaneous biliary and duodenal obstruction in patients with advanced pancreatic cancer is a clinically and technically challenging scenario. Endoscopic procedures are a valid alternative to surgical or percutaneous transhepatic biliary drainage. The availability of self-expanding metal stents (SEMSs) and lumen-apposing metal stents (LAMS) have expanded therapeutic options. We describe a case in which biliary and duodenal obstructions were treated successfully with the combined use of SEMS and LAMS devices. Endoscopic ultrasound-guided biliary drainage with the use of new LAMS and a duodenal SEMS can be a valid option in expert hands as a palliative and minimally invasive treatment for gastric outlet and biliary obstruction. Wolters Kluwer 2021-11-23 /pmc/articles/PMC8613338/ /pubmed/34841002 http://dx.doi.org/10.14309/crj.0000000000000704 Text en © 2021 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of The American College of Gastroenterology. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (https://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
spellingShingle Case Report
Metelli, Flavio
Pezzoli, Alessandro
Fabbri, Carlo
Pizzo, Elena
Arena, Rosario
Cifalà, Viviana
Simone, Loredana
Solimando, Riccardo
Merighi, Alberto
Combined Endoscopic Stent-In-Stent Placement by Lumen-Apposing Metal Stents Through Self-Expanding Metal Stents for Simultaneous Malignant Biliary and Duodenal Obstruction
title Combined Endoscopic Stent-In-Stent Placement by Lumen-Apposing Metal Stents Through Self-Expanding Metal Stents for Simultaneous Malignant Biliary and Duodenal Obstruction
title_full Combined Endoscopic Stent-In-Stent Placement by Lumen-Apposing Metal Stents Through Self-Expanding Metal Stents for Simultaneous Malignant Biliary and Duodenal Obstruction
title_fullStr Combined Endoscopic Stent-In-Stent Placement by Lumen-Apposing Metal Stents Through Self-Expanding Metal Stents for Simultaneous Malignant Biliary and Duodenal Obstruction
title_full_unstemmed Combined Endoscopic Stent-In-Stent Placement by Lumen-Apposing Metal Stents Through Self-Expanding Metal Stents for Simultaneous Malignant Biliary and Duodenal Obstruction
title_short Combined Endoscopic Stent-In-Stent Placement by Lumen-Apposing Metal Stents Through Self-Expanding Metal Stents for Simultaneous Malignant Biliary and Duodenal Obstruction
title_sort combined endoscopic stent-in-stent placement by lumen-apposing metal stents through self-expanding metal stents for simultaneous malignant biliary and duodenal obstruction
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8613338/
https://www.ncbi.nlm.nih.gov/pubmed/34841002
http://dx.doi.org/10.14309/crj.0000000000000704
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