Transhepatic placement of an enteral stent to treat jaundice in a tumor recurrence obstructed afferent loop after a whipple procedure.

Abstract:

:Tumour recurrence that obstructs the afferent limb, blocking outflow of bile and pancreatic juice, constitutes a major clinical problem after a Whipple procedure. The endoscopic route is often not a possible alternative. Surgery may be difficult and perhaps dangerous to the often very sick patient and decompression with fine bore catheters may lead to cholangitis. External drainage is inconvenient to the patient. The present case describes a less invasive method to provide adequate drainage of the obstructed jejunal limb by insertion of a 22-mm enteral Wallstent transhepatically. The patient became and stayed anicteric during 7 months' follow-up.

journal_name

Dig Surg

journal_title

Digestive surgery

authors

Johnsson E,Delle M,Lundell L,Liedman B

doi

10.1159/000071760

subject

Has Abstract

pub_date

2003-01-01 00:00:00

pages

329-31

issue

4

eissn

0253-4886

issn

1421-9883

pii

71760

journal_volume

20

pub_type

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