Korean J Pancreas Biliary Tract.  2023 Jan;28(1):19-22. 10.15279/kpba.2023.28.1.19.

Endoscopic and Endosonographic Palliation for Triple Obstruction Caused by Recurrent Gallbladder Cancer: A Case Report

  • 1Department of Infectious Diseases, Ajou University School of Medicine, Suwon, Korea
  • 2Division of Gastroenterology and Hepatology, Department of Internal Medicine, Kyung Hee University College of Medicine, Seoul, Korea
  • 3Department of Gastroenterology, Ajou University School of Medicine, Suwon, Korea


Gallbladder cancer is the most common cause of hilar biliary obstruction; however, it rarely causes combined biliary, duodenal, and colon triple obstruction. In this case, the quality of life for a patient with recurrent gallbladder cancer with combined duodenal, colonic, and biliary obstruction was improved by endoscopic and endosonographic palliation, despite its technical difficulty and complexity. Seven metal stents were implanted one by one using only endoscopic methods. Successful stent-in-stent placement and endoscopic ultrasound-guided stenting after failed ERCP improved the patient’s quality of life to the extent that there was no need for any external drainage.


Gallbladder neoplasms; Intestinal obstruction; Biliary obstruction; Self expandable metallic stent; Palliative care; 담낭암; 장폐색; 담도폐색; 자가팽창형 금속스텐트; 고식적 치료
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