title: Afferent loop obstruction treated by percutaneous transhepatic insertion of an expandable metallic stent.
abstract: The use of expandable metallic stents (EMSs) for the management of gastrointestinal obstruction is increasing. Traditionally, EMSs have been used for the treatment of malignant esophageal and biliary strictures; however, several groups are examining their use in different organs, including the stomach, duodenum, and colon. We describe a new method for the transhepatic insertion of an EMS together with a double-pigtail catheter, placed from the bile duct to the EMS to prevent migration, in a patient with afferent loop obstruction caused by recurrent gastric carcinoma.
authors.affiliation: Department of Surgery, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113-8603, Japan. hiroshiy@nms.ac.jp
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Yoshida
authors.forename: Yasuhiro
authors.initials: Y
authors.lastname: Mamada
authors.forename: Nobuhiko
authors.initials: N
authors.lastname: Taniai
authors.forename: Yoshiaki
authors.initials: Y
authors.lastname: Mizuguchi
authors.forename: Daisuke
authors.initials: D
authors.lastname: Kakinuma
authors.forename: Yoshinori
authors.initials: Y
authors.lastname: Ishikawa
authors.forename: Yoshiharu
authors.initials: Y
authors.lastname: Nakamura
authors.forename: Takeshi
authors.initials: T
authors.lastname: Okuda
authors.forename: Teruo
authors.initials: T
authors.lastname: Kiyama
authors.forename: Takashi
authors.initials: T
authors.lastname: Tajiri
mesh_terms: D000343:Afferent Loop Syndrome / Q000628:therapy*; D006801:Humans; D008670:Metals; D015607:Stents; D013274:Stomach Neoplasms / Q000150:complications*
chemical_list: D008670:Metals