Usefulness of Covered Metallic Stent for Malignant Duodenal Stenosis due to the Recurrence of Cholangioma

Akira Hayashibe, Ryugo Sawada, Hajime Tanaka, Hideki Kitoh, Kazuji Sakamoto, Eiji Taruya, Zensuke Yanagi, Kanji Tokura, Kenzou Asada, Jun Takebayashi

Department of Surgery, Izumi Municipal Hospital

A 71-year-old man, who had a history of cholangioma and left-sided lobectomy of the liver, presented with vomiting of blood. Upper abdominal computed tomography nd ultrasonography showed recurrent tumor the liver, and barium examination of the upper gastro-intestinal tract revealed an approximately 8 cm long high-grade stenosis of the antrum of the stomach and the first portions of the duodenum due to direct invasion of the recurrent tumor. Owing to the patient's advanced dissase and poor general condition, we decided that further surgery procedure would not be successful. Therefore we dilated the stenotic portion with baloon catheter and put a polyurethane-coated self-expandable nitinol stent in it, using endoscopic procedure, as palliative therapy. He was then able to ingest a solid diet, and his quality of life was much improved.

Key words
self-expandable metallic stent, duodenum

Reprint requests
Akira Hayashibe Department of Surgery, Izumi Municipal Hospital
4-10-10 Futyn-cho, Izumi 594-0071 JAPAN

Accepted
March 11, 1998

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