Radiofrequency ablation combined with multiple biliary metal stent placement using short‐type single‐balloon endoscope in patients with surgically altered anatomy

2018 ◽  
Vol 30 (3) ◽  
pp. 395-396 ◽  
Author(s):  
Tadahisa Inoue ◽  
Kiyoaki Ito ◽  
Masashi Yoneda
Keyword(s):  
Radiofrequency Ablation ◽  
Stent Placement ◽  
Metal Stent ◽  
Surgically Altered Anatomy ◽  
Single Balloon ◽  
Biliary Metal Stent ◽  
Short Type

scholarly journals Single Balloon Enteroscopy-Guided Endoscopic Retrograde Cholangiopancreatography in Surgically Altered Anatomy: Long vs. Short Type

2021 ◽  
Vol 26 (3) ◽  
pp. 181-185
Author(s):  
Chang-Hwan Park
Keyword(s):  
High Risk ◽  
Endoscopic Retrograde Cholangiopancreatography ◽  
Clinical Studies ◽  
Endoscopic Retrograde ◽  
Balloon Enteroscopy ◽  
Surgically Altered Anatomy ◽  
Single Balloon ◽  
Single Balloon Enteroscopy ◽  
Foregone Conclusion ◽  
Short Type

Traditionally, enteroscopy-guided endoscopic retrograde cholangiopancreatography (ERCP) was considered as troublesome procedure with high risk of complications in patients with surgically altered anatomy (SAA). However, recent studies have suggested that it might not have to be a foregone conclusion. In addition, various enteroscopes have been used for enteroscopy-guided ERCP in patients with SAA showing promising results. Among them, long type single balloon enteroscopes (SBE) have mostly been used for enteroscopy-guided ERCP in Korea. Recently, short type SBE can come in handy all around. Two major points should be considered when to choose between long type and short type SBE in SAA. First, it is the figurative difference between the two types of SBE that effects on actual results of enteroscopy-guided ERCP. Second, it is clinical studies using short type and/or long type SBE for enteroscopy-guided ERCP in patients with SAA. Conclusively speaking, short type SBE should be considered at first for enteroscopy-guided ERCP in most patients with SAA.

Duodenal metal stent placement is a risk factor for biliary metal stent dysfunction: an analysis using a time-dependent covariate

2012 ◽  
Vol 27 (4) ◽  
pp. 1243-1248 ◽  
Author(s):  
Tsuyoshi Hamada ◽  
Yousuke Nakai ◽  
Hiroyuki Isayama ◽  
Takashi Sasaki ◽  
Hirofumi Kogure ◽  
...  
Keyword(s):  
Risk Factor ◽  
Stent Placement ◽  
Time Dependent ◽  
Metal Stent ◽  
Biliary Metal Stent

scholarly journals Endoscopic ultrasonography-guided transhepatic antegrade self-expandable metal stent placement in a patient with surgically altered anatomy

Endoscopy ◽  
2015 ◽  
Vol 47 (S 01) ◽  
pp. E643-E644
Author(s):  
Félix Téllez-Ávila ◽  
Gilberto Duarte-Medrano ◽  
Víctor Gallardo-Cabrera ◽  
Luis Casasola-Sánchez ◽  
Francisco Valdovinos-Andraca
Keyword(s):  
Endoscopic Ultrasonography ◽  
Stent Placement ◽  
Metal Stent ◽  
Surgically Altered Anatomy ◽  
Self Expandable Metal Stent

scholarly journals SpyGlass DS -Directed Radiofrequency Ablation with Double Biliary Metal Stent Placement for Managing Recurrent Obstructive Jaundice Secondary to Castleman Disease: A Case Report of a Rare Disease (with Videos)

2020 ◽  
Author(s):  
Lijia Wen ◽  
Junhong Chen ◽  
Liang Guo ◽  
Kai Liu
Keyword(s):  
Radiofrequency Ablation ◽  
Obstructive Jaundice ◽  
Abdominal Mass ◽  
Castleman Disease ◽  
Metal Stent ◽  
Stent Patency ◽  
Stent Occlusion ◽  
Upper Abdominal ◽  
Spyglass Ds ◽  
Biliary Metal Stent

Castleman disease (CD) rarely presents with obstructive jaundice, which poses a diagnostic and therapeutic challenge to the management of the disease. A 40-year-old man was referred to our hospital for emergent management of upper abdominal pain. An abdominal mass was removed, and the postoperative pathology showed retroperitoneum CD, which was subsequently managed by adjuvant therapy of combination chemotherapy and steroids. One month later, a biliary metal stent was placed due to the presentation of obstructive jaundice. After approximately 3 months, the patient experienced another episode of obstructive jaundice, and SpyGlass DS cholangioscopy (Boston Scientific, Natick, Mass, USA) was performed via the biliary track for biopsy, which pathologically showed biliary malignancies. Radiofrequency ablation was performed with a probe (EMcision, Montreal, Canada), and another uncovered metal stent was placed within the existing metal stent. No stent occlusion occurred during a 6-month follow-up period. In conclusion, CD rarely presents with obstructive jaundice, and a combination of radiofrequency ablation with metal stent implantation under cholangioscopy can prolong the stent patency time and the survival time of patients.

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