Self-expandable Metal Stent Placement Combining Double Balloon Endoscopy with a Percutaneous Approach in a Roux-en-Y Hepaticojejunostomy
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Jan J. Koornstra, Heyder Alkefaji
University Medical Center Groningen, Groningen, The Netherlands
Abstract
The use of the double balloon endoscope for ERCP in patients with surgically altered anatomy has shown to be safe and feasible. This technique permits a variety of diagnostic and therapeutic possibilities. A case is presented of a 38-year old male, admitted with jaundice, 8 months after surgery for a malignant liver tumour with construction of a Roux-en-Y hepaticojejunostomy. A stenosis at the site of the biliodigestive anastomosis was diagnosed. Combining double balloon endoscopy with a percutaneous approach in a rendezvous procedure, it was possible to place a self-expandable biliary metal stent. This is the first report of a successful placement of a metallic stent using this technique.
Key words
Double balloon enteroscopy - ERCP - stent - Roux-en-Y reconstruction
