Refractory benign biliary stricture due to chronic pancreatitis in two patients treated using endoscopic ultrasound-guided choledochoduodenostomy fistula creation: case reports.

التفاصيل البيبلوغرافية
العنوان: Refractory benign biliary stricture due to chronic pancreatitis in two patients treated using endoscopic ultrasound-guided choledochoduodenostomy fistula creation: case reports.
المؤلفون: Ishikawa S; Department of Gastroenterology, Aichi Cancer Center Hospital, Nagoya, Japan., Okuno N; Department of Gastroenterology, Aichi Cancer Center Hospital, Nagoya, Japan., Hara K; Department of Gastroenterology, Aichi Cancer Center Hospital, Nagoya, Japan., Mizuno N; Department of Gastroenterology, Aichi Cancer Center Hospital, Nagoya, Japan., Haba S; Department of Gastroenterology, Aichi Cancer Center Hospital, Nagoya, Japan., Kuwahara T; Department of Gastroenterology, Aichi Cancer Center Hospital, Nagoya, Japan., Kuraishi Y; Department of Gastroenterology, Aichi Cancer Center Hospital, Nagoya, Japan., Yanaidani T; Department of Gastroenterology, Aichi Cancer Center Hospital, Nagoya, Japan.
المصدر: Clinical endoscopy [Clin Endosc] 2024 Jan; Vol. 57 (1), pp. 122-127. Date of Electronic Publication: 2023 May 16.
نوع المنشور: Case Reports
اللغة: English
بيانات الدورية: Publisher: Korean Society of Gastrointestinal Endoscopy Country of Publication: Korea (South) NLM ID: 101576886 Publication Model: Print-Electronic Cited Medium: Print ISSN: 2234-2400 (Print) Linking ISSN: 22342400 NLM ISO Abbreviation: Clin Endosc Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: Seoul : Korean Society of Gastrointestinal Endoscopy
مستخلص: Benign biliary stricture (BBS) is a complication of chronic pancreatitis (CP). Despite endoscopic biliary stenting, some patients do not respond to treatment, and they experience recurrent cholangitis. We report two cases of CP with refractory BBS treated using endoscopic ultrasound-guided choledochoduodenostomy (EUS-CDS) fistula creation. A 50-year-old woman and a 60-year-old man both presented with obstructive jaundice secondary to BBS due to alcoholic CP. They underwent repeated placement of a fully covered self-expandable metal stent for biliary strictures. However, the strictures persisted, causing repeated episodes of cholangitis. Therefore, an EUS-CDS was performed. The stents were eventually removed and the patients became stent-free. These fistulas have remained patent without cholangitis for more than 2.5 years. Fistula creation using EUS-CDS is an effective treatment option for BBS.
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فهرسة مساهمة: Keywords: Benign biliary stricture; Biliary drainage; Chronic pancreatitis; Endoscopic ultrasound-guided choledochoduodenostomy
تواريخ الأحداث: Date Created: 20230516 Latest Revision: 20240204
رمز التحديث: 20240205
مُعرف محوري في PubMed: PMC10834298
DOI: 10.5946/ce.2022.149
PMID: 37190745
قاعدة البيانات: MEDLINE
الوصف
تدمد:2234-2400
DOI:10.5946/ce.2022.149