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KMID : 1048120190080040171
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International Journal of Gastrointestinal Intervention
2019 Volume.8 No. 4 p.171 ~ p.173
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Percutaneous transhepatic access to allow per-oral enteric stent insertion for malignant duodenal obstruction following failed endoscopic attempt
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Adam Renan E. Ibrahem
Thurley Peter
Pollock Graham
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Abstract
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The treatment options for malignant gastric outlet obstruction include antegrade stent placement or surgical bypass, the latter being associated with a higher level of morbidity and therefore often reserved for cases in which stenting is not technically possible. Antegrade stent placement can be endoscopic, fluoroscopic or a combination. We report a case in which standard antegrade attempts at stenting failed, but where it was possible to use a retrograde approach via the biliary tree to facilitate technically and clinically successful stent placement.
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KEYWORD
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Duodenal, Obstruction, Retrograde, Stent, Transhepatic
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