Self-expandable metal stent placement combining double balloon endoscopy with a percutaneous approach in a Roux-en-Y hepaticojejunostomy.
The use of the double balloon endoscope for ERCP in patients with surgically altered anatomy has shown to be safe and feasible. This technique permits a variety of diagnostic and therapeutic possibilities. A case is presented of a 38-year old male, admitted with jaundice, 8 months after surgery for a malignant liver tumour with construction of a Roux-en-Y hepaticojejunostomy. A stenosis at the site of the biliodigestive anastomosis was diagnosed. Combining double balloon endoscopy with a percutaneous approach in a rendezvous procedure, it was possible to place a self-expandable biliary metal stent. This is the first report of a successful placement of a metallic stent using this technique.
University Medical Center Groningen, PO. Box 30001, 9700 BB Groningen, The Netherlands. j.j.koornstra@int.umcg.nl
Jan J
JJ
Koornstra
Heyder
H
Alkefaji
D000328:Adult; D000713:Anastomosis, Roux-en-Y / Q000379:methods*; D002760:Cholangiopancreatography, Endoscopic Retrograde; D004724:Endoscopy / Q000379:methods*; D006801:Humans; D007582:Jejunostomy / Q000379:methods*; D008099:Liver / Q000601:surgery*; D008297:Male; D015607:Stents