Afferent loop obstruction treated by percutaneous transhepatic insertion of an expandable metallic stent.
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.
Yoshida
Hiroshi
H
Department of Surgery, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113-8603, Japan. hiroshiy@nms.ac.jp
Mamada
Yasuhiro
Y
Taniai
Nobuhiko
N
Mizuguchi
Yoshiaki
Y
Kakinuma
Daisuke
D
Ishikawa
Yoshinori
Y
Nakamura
Yoshiharu
Y
Okuda
Takeshi
T
Kiyama
Teruo
T
Tajiri
Takashi
T
D000343:Afferent Loop Syndrome / Q000628:therapy*; D006801:Humans; D008670:Metals; D015607:Stents; D013274:Stomach Neoplasms / Q000150:complications*
D008670:Metals