Successful treatment of benign biliary stricture by a covered self-expandable metallic stent in a patient with chronic pancreatitis

Atsushi Kanno, Atsushi Masamune, Morihisa Hirota, Kazuhiro Kikuta, Tooru Shimosegawa

Research output: Contribution to journalArticlepeer-review

Abstract

The patient was a 73 year old man for whom surgery under general anesthesia was difficult to perform because of pulmonary emphysema. In April 2003, he visited our hospital complaining of epigastralgia and dorsal pain, and was admitted under a diagnosis of acute exacerbation of chronic pancreatitis. In 2005, acute cholangitis concomitantly developed with acute exacerbation of chronic pancreatitis, for which a plastic stent was placed in the common bile duct. Cholangitis repeatedly developed every 2-3 months thereafter, and admission was required each time to exchange the stent. Surgery was considered but not applicable because of his poor respiratory function, and a partially covered self-expandable metallic stent was inevitably placed in the bile duct. Ten months later, an aberration of the metallic stent in the bile duct occurred, but it was dealt with by placing an additional metallic stent, and no cholangitis or pancreatitis developed until the patient died of respiratory insufficiency 3 years later. Placement of a covered self-expandable metallic stent might be an option for the treatment of benign biliary stricture, especially in patients at high risk from surgery.

Original languageEnglish
Pages (from-to)43-48
Number of pages6
JournalDigestive Endoscopy
Volume24
Issue numberSUPPL. 1
DOIs
Publication statusPublished - 2012 May

Keywords

  • cholangitis
  • drainage
  • endoscopic retrograde cholangiopancreatography
  • endoscopy
  • stent

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Gastroenterology

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