Combined percutaneous-endoscopic approach for biliary endoprosthesis placement.
A nonoperative method of palliation was used in four patients with malignant obstructive jaundice in whom biliary endoprosthesis could not be placed endoscopically. A guide wire was manipulated through the lesion by a percutaneous transhepatic route and retrieved from the duodenum through an endoscope. A 10 Fr stent was then passed through the endoscope over the guide wire across the stricture. The procedure was successful in all four patients, with no complication.
Seth
A K
AK
Department of Hepatology, Postgraduate Institute of Medical Education and Research, Chandigarh.
Dhiman
R K
RK
Gupta
S
S
Gulati
M
M
Chawla
Y K
YK
Suri
S
S
Dilawari
J B
JB
D000368:Aged; D001651:Cholestasis, Extrahepatic / Q000209:etiology / Q000628:therapy*; D004867:Equipment Design; D005260:Female; D006801:Humans; D020706:Laparoscopes; D008297:Male; D008875:Middle Aged; D010166:Palliative Care; D015607:Stents