Temporary placement of a covered duodenal stent can avoid riskier anterograde biliary drainage when ERCP for obstructive jaundice fails due to duodenal invasion
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- 作者：Felix Goutorbe ; Olivier Rouquette ; Aurélien Mulliez ; Julien Scanzi…
- 关键词：Duodenal covered SEMS ; Duodenal stenosis ; Failed ERCP ; Gastric outlet obstruction ; EUS ; guided biliary drainage
- 刊名：Surgical Endoscopy
- 出版年：2017
- 出版时间：February 2017
- 年：2017
- 卷：31
- 期：2
- 页码：625-631
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- 刊物类别：Medicine
- 刊物主题：Surgery; Gynecology; Gastroenterology; Hepatology; Proctology; Abdominal Surgery;
- 出版者：Springer US
- ISSN：1432-2218
- 卷排序：31
文摘
BackgroundDuodenal stenosis is one of the most common causes of failed ERCP for obstructive jaundice. Alternative approaches include anterograde biliary drainage, with higher morbidity. We report in this study the efficacy and safety of temporary placement of a covered duodenal self-expandable metal stent (cSEMS) in order to access the papilla and achieve secondary retrograde biliary drainage in patients with obstructive jaundice and failed ERCP due to concomitant duodenal stenosis.