Percutaneous choledocho-duodenal shunt for malignant biliary obstruction
Journal: Archives of Clinical Gastroenterology (Vol.4, No. 1)Publication Date: 2018-04-12
Authors : Saburo Kakizoe Yumiko Kakizoe Hiroshi Kakizoe; Keiji Kakizoe;
Page : 018-019
Keywords : Biliary obstruction; Cholangio carcinoma; Shunt; Biliary stent;
Abstract
We developed a new method: percutaneous choledocho-duodenal shunt (PCDS) for complete biliary obstruction patient. At fi rst, percutaneous transhepatic cholangio drainage (PTCD) is performed as usual manner with local anesthesia. After the patient is recovered from bilirubinemia, percutaneous endoscopic gastrostomy (PEG) is performed with pull-through method under local anesthesia. Catheter of PEG is replaced to jejunal catheter after the gastrostomy is completed. These two catheters (catheter of PTCD and Jejunal catheter) are connected each other with extra-peritoneal shunt. The method is useful for the patient with complete biliary obstruction who cannot be performed biliary stenting.
Other Latest Articles
- Left Hepatectomy for Hepatocellular Carcinoma left liver with underlying cirrhosis and portal hypertension
- Incarcerated Giant Hiatal Hernia conditioning hearth shock: case report
- Pancreaticojejunostomy versus pancreaticogastrostomy after pancreaticoduodenectomy to prevent post-operative pancreatic fi stula, a dissonance between evidence and practice
- A case Report of Perforated Primary Follicular Lymphoma of the Jejunum presenting as Aneurismal Form
- Duodenal Eosinophilia and Gastroparesis: Is there a role?
Last modified: 2018-10-24 18:04:00