학술논문

A case that detained SEMS by the Rendezvous method for biliary tract stenosis through PTGBD route after the Roux-en-Y gastric bypasss surgery / Roux−en−Y再建後の胆道閉塞に対し,PTGBDルートからのRendezvous法でSEMSを留置した1例
Document Type
Journal Article
Source
Progress of Digestive Endoscopy. 2015, 87(1):142
Subject
PTGBD
rendezvou法
Language
Japanese
ISSN
1348-9844
2187-4999
Abstract
A 64-year-old woman underwent Roux-en-Y gastric bypass surgery for the treatment of antral obstruction due to type 3 gastric cancer. Two months later, liver dysfunction due to malignant biliary tract stenosis was noted. The endoscopic retrograde cholangiography with a double balloon endoscope (DBE) and the percutaneous transhepatic biliary drainage for biliary obstruction were unsuccsessful. Percutaneous transhepatic gallbladder biliary drainage (PTGBD) was performed,and thereafter self expanded metalic stent using DBE was successfully placed into the common bile duct with the Rendezvous technique from the PTGBD route.this Rendezvous procedure using DBE may be one of the therapeutic options for biliary obstructidon after gastric surgery.