Korean J Gastroenterol.  2002 Oct;40(4):278-281.

Two Double Stents Insertion for Commen Bile Duct and Duodenal Obstruction Caused by Pancreatic Cancer

• Shin YJ
• Oh DH
• Kee YW
• Park MH
• Jeong SI
• Kang SJ
• Seo KS
• Lim YK

Abstract

Pancreatic cancer is not amenable to curative resection generally and therapeutic efforts are directed at palliation of symptoms. Endoscopic palliation of malignant biliary and/or gastrointestinal tract obstruction is available and contributes to improving quality of life. We describe a patient, with unresectable pancreatic cancer who initially presented with malignant biliary obstruction and subsequently complicated by duodenal obstruction. The patient had previously undergone biliary stenting with uncovered metal stent and six weeks later, percutaneous biliary drainage was performed due to stent obstruction by tumor ingrowth. Insertion of an uncovered duodenal stent effectively relieved obstructive symptoms for 6 weeks until restenosis by tumor ingrowth occured. Subsequent insertion of a covered duodenal stent resulted in symptomatic improvement again. Insertion of an another covered biliary stent effectively decompressed biliary obstruction. We report our experience of placement of two double metal stents for simultaneous decompression of malignant biliary and duodenal obstruction.

Keyword

Pancreatic neoplasms; Double stents; Duodenal obstruction; Bile duct obstruction; extrahepatic

MeSH Terms

Bile Ducts*
Bile*
Cholestasis
Decompression
Drainage
Duodenal Obstruction*
Gastrointestinal Tract
Humans
Pancreatic Neoplasms*
Quality of Life
Stents*