Tube cholangio-jejunal bypass in unresectable hepatic hilar carcinoma for a better quality of life

Takashi Orii, Nobuhiro Ohkohchi, Hiroyuki Kikuchi, Satoshi Sekiguchi, Naoki Kawagishi, Shigeki Tsukamoto, Susumu Satomi

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)

Abstract

A 76-year-old male patient with jaundice was diagnosed as having hepatic hilar cholangiocarcinoma. The patient underwent percutaneous transhepatic biliary drainage of the left and the right intrahepatic bile duct. He could not have a percutaneous transhepatic endoprosthesis placed because it was impossible to pass the guidewire through the stenotic portion of the lesion. The patient was operated, but the tumor was considered to be unresectable. Along the intrahepatic routes formed by the preexisting two percutaneous transhepatic biliary drainage tubes, silicon tubes were inserted. Through the lumen of a long jejunal limb, Roux-en-Y, the tubes with five to six side holes were passed in the distal direction and drawn out from the lumen of the jejunal limb and passed through the abdominal wall to outside. The tubes were occluded and buried in the subcutaneous space after a few clamping tests. He died of liver failure in his house four months after the operation without any symptoms of jaundice, fever or of obstruction of the tubes.

Original languageEnglish
Pages (from-to)530-531
Number of pages2
JournalHepato-Gastroenterology
Volume50
Issue number50
Publication statusPublished - 2003 Mar

Keywords

  • Cholangioenteric bypass
  • Hepatic hilar carcinoma
  • Palliative procedure
  • Quality of life
  • Tube cholangio-jejunal bypass

ASJC Scopus subject areas

  • Hepatology
  • Gastroenterology

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