Korean J Gastrointest Endosc.  2000 Dec;21(6):951-954.

Choledochoduodenal Fistula after Placement of Endocoil Spiral Stent for Pancreatic Head Cancer

• Park SH
• Lee S
• Park JH
• Choi SI
• Han SW
• Park HB

Abstract

Retrograde endoscopic or percutaneous transhepatic bile duct drainage is the treatment of choice for palliation of malignant biliary obstruction. An expanding metal stent, Endocoil spiral stent, with strong radial force was developed to solve the problems of other metal stents which include obstruction by tumor ingrowth, migration, and epithelial trauma from the distal hard edges of the stent. A choledochoduodenal fistula is occasionally found during endoscopic retrograde cholangiopancreatiography (ERCP) or barium radiography. Cholelithiasis is suspected to be the leading cause in some endemic areas like Korea but duodenal ulcer is more common in Western countries. The case reported here is of a 78-year-old woman, suffering from vomiting, epigastric pain, and abdominal distension, who had a Endocoil spiral stent in the common bile duct (CBD) for pancreatic head cancer for 8 months. During barium radiograph, a fistulous connection between the proximal second part of duodeum and the CBD was identified.

Keyword

Choledochoduodenal fistula; Endocoil spiral stent

MeSH Terms

Aged
Barium
Bile Ducts
Cholelithiasis
Common Bile Duct
Drainage
Duodenal Ulcer
Female
Fistula*
Head and Neck Neoplasms*
Head*
Humans
Korea
Radiography
Stents*
Vomiting
Barium