• Internal medicine · Jun 2021

    Case Reports

    Hilar Malignant Biliary Obstruction Treated with Four Metallic Stents Involving a New Slim Device.

    • Yuki Noguchi, Mitsuru Sugimoto, Yuichiro Kiko, Tadayuki Takagi, Rei Suzuki, Naoki Konno, Hiroyuki Asama, Yuki Sato, Hiroki Irie, Jun Nakamura, Mika Takasumi, Minami Hashimoto, Tsunetaka Kato, Ryoichiro Kobashi, Yuko Hashimoto, Takuto Hikichi, and Hiromasa Ohira.
    • Department of Gastroenterology, School of Medicine, Fukushima Medical University, Japan.
    • Intern. Med. 2021 Jun 15; 60 (12): 1871-1876.

    AbstractEndoscopic hilar multiple stenting is challenging. A 68-year-old patient had self-expandable metallic stents (SEMSs) inserted for unresectable hilar malignant biliary obstruction. After the SEMSs were inserted into the left hepatic duct and bile duct branch of segment (B) 6, a new SEMS with a wide mesh and slim delivery system was inserted into the right anterior hepatic duct. However, liver abscess and dilated B7 were observed on computed tomography; therefore, an additional new SEMS was quickly and easily inserted into B7. After the placement of these four SEMSs, the liver abscess improved. The new SEMS was effective for hilar multiple biliary drainage.

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