Endoscopic technique for multiple metallic stent deployment to malignant hilar biliary strictures

Hirofumi Kawamoto, Tomohiro Tanigawa, Noriyo Urata, Takahito Oka, Jun Nakamura, Mitsuhiko Suehiro, Ken Nishino, Miwa Kawanaka, Ken Haruma, Hironari Kato

Research output: Contribution to journalArticle

Abstract

Multiple metallic stent deployment to malignant hilar biliary strictures is not a mere technique to deploy metallic stents into the right and left hepatic ducts. This technique is technically demanding because it involves insertion of various devices repeatedly to selected branches with a lateral view endoscope. Consequently, the functional liver volume is secured as much as possible. Since inappropriate stent deployment may induce intractable cholangitis in patients with malignant hilar biliary strictures, we must pay attention to the anatomy of the biliary tree on the hilar plate and must be familiar with the available devices. Otherwise, the prognosis of these patients is ominous. To conduct multiple metallic stent deployment successfully, it is important to develop a strategy based on these facts.

Original languageEnglish
Pages (from-to)1354-1366
Number of pages13
JournalGASTROENTEROLOGICAL ENDOSCOPY
Volume58
Issue number8
Publication statusPublished - 2016

Keywords

  • Malignant hilar biliary strictures
  • Metallic stent

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Gastroenterology

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  • Cite this

    Kawamoto, H., Tanigawa, T., Urata, N., Oka, T., Nakamura, J., Suehiro, M., Nishino, K., Kawanaka, M., Haruma, K., & Kato, H. (2016). Endoscopic technique for multiple metallic stent deployment to malignant hilar biliary strictures. GASTROENTEROLOGICAL ENDOSCOPY, 58(8), 1354-1366.