Journal of Nippon Medical School: Vol.70 No.2 page.179

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ArticleTitle One-step Insertion of an Expandable Metallic Stent for Unresectable Common Bile Duct Carcinoma

AuthorList Hiroshi Yoshida¹, Takashi Tajiri¹, Yasuhiro Mamada¹, Nobuhiko Taniai¹, Youichi Kawano¹, Yoshiaki Mizuguchi¹, Shigeki Yokomuro¹, Eiji Uchida¹, Yasuo Arima¹, Koho Akimaru¹, Manabu Watanabe² and Eiichi Uchida²

Affiliation ¹First Department of Surgery, Nippon Medical School
²Uchida Hospital, Tokyo

Language EN

Volume 70

Issue 2

Year 2003

Page 179-182

Received August 26, 2002

Accepted October 28, 2002

Keywords expandable metallic stent, common bile duct carcinoma, obstructive jaundice

Abstract Background: This report describes a one-step insertion of an expandable metallic stent to treat obstructive jaundice due to unresectable common bile duct carcinoma.
Methods: A percutaneous transhepatic cholangiogram is obtained, and the bile duct obstruction is negotiated with a guide wire. After advancing the catheter into the duodenum, contrast material is injected to measure the length of the stenosis. After an expandable metallic stent is positioned, an external biliary drainage catheter is left in place to provide temporary drainage. The catheter is removed after stent patency is confirmed after 3 days.
Conclusions: One-step insertion of an expandable metallic stent for biliary obstruction is a useful method that shortens hospitalization. Once it has been decided to use stent palliation, the stent should be inserted without undue delay to maximize symptomatic relief and cost benefits.

Correspondence to Hiroshi Yoshida, MD, First Department of Surgery, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113-8603, Japan
hiroshiy@nms.ac.jp

ArticleTitle	One-step Insertion of an Expandable Metallic Stent for Unresectable Common Bile Duct Carcinoma
AuthorList	Hiroshi Yoshida¹, Takashi Tajiri¹, Yasuhiro Mamada¹, Nobuhiko Taniai¹, Youichi Kawano¹, Yoshiaki Mizuguchi¹, Shigeki Yokomuro¹, Eiji Uchida¹, Yasuo Arima¹, Koho Akimaru¹, Manabu Watanabe² and Eiichi Uchida²
Affiliation	¹First Department of Surgery, Nippon Medical School ²Uchida Hospital, Tokyo
Language	EN
Volume	70
Issue	2
Year	2003
Page	179-182
Received	August 26, 2002
Accepted	October 28, 2002
Keywords	expandable metallic stent, common bile duct carcinoma, obstructive jaundice
Abstract	Background: This report describes a one-step insertion of an expandable metallic stent to treat obstructive jaundice due to unresectable common bile duct carcinoma. Methods: A percutaneous transhepatic cholangiogram is obtained, and the bile duct obstruction is negotiated with a guide wire. After advancing the catheter into the duodenum, contrast material is injected to measure the length of the stenosis. After an expandable metallic stent is positioned, an external biliary drainage catheter is left in place to provide temporary drainage. The catheter is removed after stent patency is confirmed after 3 days. Conclusions: One-step insertion of an expandable metallic stent for biliary obstruction is a useful method that shortens hospitalization. Once it has been decided to use stent palliation, the stent should be inserted without undue delay to maximize symptomatic relief and cost benefits.
Correspondence to	Hiroshi Yoshida, MD, First Department of Surgery, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113-8603, Japan hiroshiy@nms.ac.jp