title: Refractory Jaundice From Intraductal Papillary Mucinous Neoplasm Treated With Cholangioscopy-Guided Radiofrequency Ablation.
abstract: Intraductal papillary mucinous neoplasms (IPMNs) are epithelial neoplasms treated with surgical resection when appropriate. We present a 79-year-old man with jandice refractory to endoscopic stenting. Biliary radiofrequency ablation (RFA) with cholangioscopy was used as palliation of obstructive jaundice due to a mucin-producing pancreatic IPMN with fistulous biliary communication. Clinical improvement permitted surgery, and he returned to pre-illness status at 17 months. The use of cholangioscopy in the setting of mucinous filling defects can guide over-the-wire RFA for palliation and may be a bridge to surgery.
authors.affiliation: Department of Internal Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO.
authors.forename: Nicholas G
authors.initials: NG
authors.lastname: Brown
authors.affiliation: Department of Gastroenterology, University of Colorado Anschutz Medical Campus, Aurora, CO.
authors.forename: Joel
authors.initials: J
authors.lastname: Camilo
authors.affiliation: Department of Surgery, University of Colorado Anschutz Medical Campus, Aurora, CO.
authors.forename: Martin
authors.initials: M
authors.lastname: McCarter
authors.affiliation: Department of Gastroenterology, University of Colorado Anschutz Medical Campus, Aurora, CO.
authors.forename: Raj J
authors.initials: RJ
authors.lastname: Shah