scholarly journals Usefulness of half‐covered metallic stent placement in preventing acute cholecystitis complication in pancreatic cancer‐induced distal biliary stricture

JGH Open ◽  
2020 ◽  
Vol 4 (6) ◽  
pp. 1140-1145
Author(s):  
Makoto Takaoka ◽  
Masaaki Shimatani ◽  
Tsukasa Ikeura ◽  
Toshiyuki Mitsuyama ◽  
Sachi Miyamoto ◽  
...  
Keyword(s):  
Pancreatic Cancer ◽  
Acute Cholecystitis ◽  
Stent Placement ◽  
Biliary Stricture ◽  
Metallic Stent ◽  
Covered Metallic Stent ◽  
Metallic Stent Placement

scholarly journals Rendezvous for afferent limb syndrome

2020 ◽  
Vol 2 (9) ◽  
pp. 01-04
Author(s):  
Ivan Mendez
Keyword(s):  
Pancreatic Cancer ◽  
Endoscopic Retrograde Cholangiopancreatography ◽  
Stent Placement ◽  
Whipple Procedure ◽  
Metallic Stent ◽  
Biliary Anatomy ◽  
Endoscopic Retrograde ◽  
Afferent Limb ◽  
Rendezvous Technique ◽  
Metallic Stent Placement

Endoscopic retrograde cholangiopancreatography (ERCP) in patients with surgical alterations in the normal biliary anatomy is technically challenging. We describe the case of a 73-year-old patient with an afferent limb syndrome secondary to a Whipple procedure for pancreatic cancer, in which a percutaneous rendezvous technique assisted in the endoscopic metallic stent placement with favorable outcome.

scholarly journals Three-tube method and covered metallic stent for the treatment of anastomotic leakage after esophagectomy

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Yonghua Bi ◽  
Zhengyang Wu ◽  
Mengfei Yi ◽  
Xinwei Han ◽  
Jianzhuang Ren
Keyword(s):  
Anastomotic Leakage ◽  
Stent Placement ◽  
Survival Rates ◽  
Covered Stents ◽  
Metallic Stent ◽  
Esophageal Rupture ◽  
Abscess Drainage ◽  
Esophageal Stents ◽  
Covered Metallic Stent ◽  
Metallic Stent Placement

Abstract Background Anastomotic leakage is common and life-threatening complication after esophagectomy. The management of esophageal anastomotic leakage remains challenging. We aimed to determine the safety, feasibility and efficacy of three-tube method and covered metallic stent placement for the management of anastomotic leakage. Methods Twenty-six consecutive patients with anastomotic leakage were treated using three-tube method and covered metallic stent and the medical records were retrospectively assessed. All patients received placement of abscess drainage tube, jejunal feeding tube and gastrointestinal decompression tube as well as esophageal covered stent, followed by continue abscess drainage, nutritional support and anti-inflammatory treatment. Tubes and esophageal stents will be removed once anastomotic leakage heals. Results The procedure was technically successful in 23 patients (95.8%). A total of 31 covered stents were used. Esophageal stents and abscess drainage tubes were successfully removed from 14 patients. The median retention duration was 2.3 months and 2.6 months for stent and abscess drainage tubes, respectively. No perioperative death, esophageal rupture, massive hemorrhage, or other severe complications were observed during procedures. The abscess cavity had markedly decreased in 8 patients or disappeared in 16 cases. During follow-up, 8 patients died of cancer recurrence and 2 patients died of severe pulmonary infection. The 1-, 3-, 5-year survival rates were 60.1, 51.5 and 51.5%, respectively. Conclusion Three-tube method and covered metallic stent placement is safe, feasible and efficacious for treatment of anastomotic leakage after esophagectomy.

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