Combined use of a two-channel endoscope and a flexible tip catheter for difficult biliary cannulation
Gastrointestinal Intervention
;
: 34-35, 2018.
Artigo
em Inglês
| WPRIM
| ID: wpr-739759
ABSTRACT
A 69-year-old woman with jaundice was referred to our hospital. After a final diagnosis of pancreatic cancer with liver metastasis, we performed transpapillary biliary drainage with a covered self-expandable metal stent (SEMS). Three months later, we also placed an uncovered duodenal stent for duodenal stricture in a side-to-end fashion. Another month later, for biliary SEMS obstruction, we attempted a transpapillary approach. A duodenoscope was advanced and a guidewire was passed through the mesh of the duodenal stent into the bile duct with a flexible tip catheter, but the catheter was not. Thus, we exchanged the duodenoscope for a forward-viewing two-channel endoscope and used the left working channel with a flexible tip catheter. By adjusting the axis, we finally succeeded biliary cannulation and accomplished balloon cleaning for recanalization of the SEMS. This is the first case with successful biliary cannulation by combined use of a two-channel endoscope and a flexible tip catheter.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Neoplasias Pancreáticas
/
Ductos Biliares
/
Cateterismo
/
Stents
/
Drenagem
/
Colestase
/
Constrição Patológica
/
Endoscópios
/
Duodenoscópios
/
Diagnóstico
Tipo de estudo:
Estudo diagnóstico
Limite:
Idoso
/
Feminino
/
Humanos
Idioma:
Inglês
Revista:
Gastrointestinal Intervention
Ano de publicação:
2018
Tipo de documento:
Artigo
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