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A Case of Malignant Biliary Obstruction with Severe Obesity Successfully Treated by Endoscopic Ultrasonography-Guided Biliary Drainage
Joint Authors
Yamasaki, Shuuji
Obana, Takashi
Source
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-09-06
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Here, we present a case of malignant biliary tract obstruction with severe obesity, which was successfully treated by endoscopic ultrasonography-guided biliary drainage (EUS-BD).
A female patient in her sixties who had been undergoing chemotherapy for unresectable pancreatic head cancer was admitted to our institution for obstructive jaundice.
She had diabetes mellitus, and her body mass index was 35.1 kg/m2.
Initially, endoscopic retrograde cholangiopancreatography (ERCP) was performed, but bile duct cannulation was unsuccessful.
Percutaneous transhepatic biliary drainage (PTBD) from the left hepatic biliary tree also failed.
Although a second PTBD attempt from the right hepatic lobe was accomplished, biliary tract bleeding followed, and the catheter was dislodged.
Consequently, EUS-BD (choledochoduodenostomy), followed by direct metallic stent placement, was performed as a third drainage method.
Her postprocedural course was uneventful.
Following discharge, she spent the rest of her life at home without recurrent jaundice or readmission.
In cases of severe obesity, we consider EUS-BD, rather than PTBD, as the second drainage method of choice for distal malignant biliary obstruction when ERCP fails.
American Psychological Association (APA)
Obana, Takashi& Yamasaki, Shuuji. 2016. A Case of Malignant Biliary Obstruction with Severe Obesity Successfully Treated by Endoscopic Ultrasonography-Guided Biliary Drainage. Case Reports in Medicine،Vol. 2016, no. 2016, pp.1-5.
https://search.emarefa.net/detail/BIM-1101125
Modern Language Association (MLA)
Obana, Takashi& Yamasaki, Shuuji. A Case of Malignant Biliary Obstruction with Severe Obesity Successfully Treated by Endoscopic Ultrasonography-Guided Biliary Drainage. Case Reports in Medicine No. 2016 (2016), pp.1-5.
https://search.emarefa.net/detail/BIM-1101125
American Medical Association (AMA)
Obana, Takashi& Yamasaki, Shuuji. A Case of Malignant Biliary Obstruction with Severe Obesity Successfully Treated by Endoscopic Ultrasonography-Guided Biliary Drainage. Case Reports in Medicine. 2016. Vol. 2016, no. 2016, pp.1-5.
https://search.emarefa.net/detail/BIM-1101125
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1101125