Malignant jejunal strictures after Whipple procedure: stenting with large-bore tubes and use of combined transhepatic and peroral approach.
Malignant strictures of the afferent jejunal limbs are difficult to treat. Surgical revision and chronic external drainage, two commonly used palliative procedures, have significant associated morbidity. A combined transhepatic and peroral approach was used to stent malignant jejunal strictures in two patients, allowing antegrade internal drainage of biliary and pancreatic secretions. Excellent palliation was achieved, and there were no associated complications.
Burke
D R
DR
Department of Radiology, Hospital of the University of Pennsylvania, Philadelphia 19104.
Weinstein
J K
JK
D002404:Catheterization; D004322:Drainage / Q000379:methods; D006801:Humans; D007415:Intestinal Obstruction / Q000628:therapy*; D007440:Intubation; D007579:Jejunal Diseases / Q000628:therapy*; D010190:Pancreatic Neoplasms / Q000150:complications / Q000601:surgery*; D011183:Postoperative Complications / Q000628:therapy*