Int J Gastrointest Interv.  2019 Oct;8(4):171-173. 10.18528/ijgii190002a.

Percutaneous transhepatic access to allow per-oral enteric stent insertion for malignant duodenal obstruction following failed endoscopic attempt

• Ibrahem Adam RE
• Thurley P
• Pollock G

• KMID: 2464710
• DOI: http://doi.org/10.18528/ijgii190002a

Abstract

The treatment options for malignant gastric outlet obstruction include antegrade stent placement or surgical bypass, the latter being associated with a higher level of morbidity and therefore often reserved for cases in which stenting is not technically possible. Antegrade stent placement can be endoscopic, fluoroscopic or a combination. We report a case in which standard antegrade attempts at stenting failed, but where it was possible to use a retrograde approach via the biliary tree to facilitate technically and clinically successful stent placement.

Keyword

Duodenal; Obstruction; Retrograde; Stent; Transhepatic

MeSH Terms

Biliary Tract
Duodenal Obstruction*
Gastric Outlet Obstruction
Stents*