Gastrointest Interv.  2016 Mar;5(1):80-83. 10.18528/gii150033.

Percutaneous transgastric stenting of proximal jejunal obstruction secondary to direct invasion of a pancreatic carcinoma

• Orillaza T
• Kim J
• Won JH

• KMID: 2308834
• DOI: http://doi.org/10.18528/gii150033

Abstract

Pancreatic cancer has been identified as one of the most common malignant causes of upper gastrointestinal obstruction. Most common sites of obstruction include the pyloric region and second and third portions of the duodenum. If surgical gastrojejunostomy is not a viable option, metallic stent placement may be performed either by transoral or transgastric approach. Transgastric technique is considered to be more invasive and is often employed only in failed attempts to insert a stent using transoral technique. This report presents a 70-year-old patient with pancreatic cancer involving the proximal jejunum. Although this is a rarely described location for stenting, the patient was successfully treated using transgastric technique.

Keyword

Fluoroscopy; Jejunum; Self-expandable metallic stent

MeSH Terms

Aged
Duodenum
Fluoroscopy
Gastric Bypass
Humans
Jejunum
Pancreatic Neoplasms
Stents*