Journal of Nippon Medical School: Vol.67 No.5 page.380

Journal of Nippon Medical School

Select Language
in Japanese < > in English

Full Text of this Article

in English PDF (212k)

ArticleTitle Successful Removal of a Stone and an Expandable Metallic Stent from the Biliary Tract of a Patient with Acute Occlusive Pyogenic Cholangitis

AuthorList Yuji Okihama¹, Masahiko Onda², Itsuo Fujita¹, Tadashi Teramoto¹, Takeshi Matsuda¹, Shinya Iida³, Masayo Wada³, Kaku Egami³ and Masatomo Yoshioka³

Affiliation ¹Department of Gastroenterology, Nippon Medical School Tamanagayama Hospital ²Department of Surgery (I), Nippon Medical School ³Department of Surgery, Nippon Medical School Tamanagayama Hospital

Language EN

Volume 67

Issue 5

Year 2000

Page 380-383

Received May 9, 2000

Accepted June 9, 2000

Keywords expandable metallic stents, removal of stents, cholangioscopy, percutaneous transhepatic biliary drainage, acute occlusive pyogenic cholangitis

Abstract We removed a biliary stone and the metallic stent placed two years previously in a patient with benign biliary strictures. An 80-year-old woman who had been inplanted with an expandable metallic stent (EMS) to prevent obstruction by a large common bile duct stone about two years before as an emergency measure in another hospital, was afficted with acute occlusive pyogenic cholangitis (AOPC) and hospitalized in our hospital. After treating the AOPC, we successfully removed the EMS with a cholangioscope and normal biopsy forceps through the percutaneous transhepatic channel under fluoroscopy. The type of the EMS was Accufulex^®stent. To remove it was easier than expected. Once it started to unravel, it was removed from the common bile duct within a few minutes. (J Nippon Med Sch 2000; 67: 380-383)

Correspondence to Department of Gastroenterology, Nippon Medical School Tamanagayama Hospital, 1-7-1 Nagayama Tamashi, Tokyo 206-8512, Japan

ArticleTitle	Successful Removal of a Stone and an Expandable Metallic Stent from the Biliary Tract of a Patient with Acute Occlusive Pyogenic Cholangitis
AuthorList	Yuji Okihama¹, Masahiko Onda², Itsuo Fujita¹, Tadashi Teramoto¹, Takeshi Matsuda¹, Shinya Iida³, Masayo Wada³, Kaku Egami³ and Masatomo Yoshioka³
Affiliation	¹Department of Gastroenterology, Nippon Medical School Tamanagayama Hospital ²Department of Surgery (I), Nippon Medical School ³Department of Surgery, Nippon Medical School Tamanagayama Hospital
Language	EN
Volume	67
Issue	5
Year	2000
Page	380-383
Received	May 9, 2000
Accepted	June 9, 2000
Keywords	expandable metallic stents, removal of stents, cholangioscopy, percutaneous transhepatic biliary drainage, acute occlusive pyogenic cholangitis
Abstract	We removed a biliary stone and the metallic stent placed two years previously in a patient with benign biliary strictures. An 80-year-old woman who had been inplanted with an expandable metallic stent (EMS) to prevent obstruction by a large common bile duct stone about two years before as an emergency measure in another hospital, was afficted with acute occlusive pyogenic cholangitis (AOPC) and hospitalized in our hospital. After treating the AOPC, we successfully removed the EMS with a cholangioscope and normal biopsy forceps through the percutaneous transhepatic channel under fluoroscopy. The type of the EMS was Accufulex^®stent. To remove it was easier than expected. Once it started to unravel, it was removed from the common bile duct within a few minutes. (J Nippon Med Sch 2000; 67: 380-383)
Correspondence to	Department of Gastroenterology, Nippon Medical School Tamanagayama Hospital, 1-7-1 Nagayama Tamashi, Tokyo 206-8512, Japan