Int J Gastrointest Interv.  2019 Oct;8(4):171-173. 10.18528/ijgii190002a.

Percutaneous transhepatic access to allow per-oral enteric stent insertion for malignant duodenal obstruction following failed endoscopic attempt

Affiliations
  • 1Department of radiology, Nottingham University Hospitals NHS Trust, Nottingham, UK. renan.ibrahem@doctors.org.uk
  • 2Department of radiology, Royal Derby Hospital, Derby, UK.

Abstract

The treatment options for malignant gastric outlet obstruction include antegrade stent placement or surgical bypass, the latter being associated with a higher level of morbidity and therefore often reserved for cases in which stenting is not technically possible. Antegrade stent placement can be endoscopic, fluoroscopic or a combination. We report a case in which standard antegrade attempts at stenting failed, but where it was possible to use a retrograde approach via the biliary tree to facilitate technically and clinically successful stent placement.

Keyword

Duodenal; Obstruction; Retrograde; Stent; Transhepatic

MeSH Terms

Biliary Tract
Duodenal Obstruction*
Gastric Outlet Obstruction
Stents*
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