Biliary Stenting in Tight Malignant Biliary Stricture: A Technical Consideration

Authors

  • Sunthorn Treesaranuwattana Department of Surgery, St. Mary Hospital, Nakhon Ratchasima, Thailand 30000

Keywords:

Malignant obstructive jaundice, Cholangiocarcinoma, Therapeutic endoscopy-Biliary stent

Abstract

             A simple technique employing a long taper tip catheter to facilitate stent placement in tight biliary malignant stricture, smaller than 5 F, may serve as an alternative procedure to successful placement of biliary stent when conventional dilatation is of no avail. This procedure requires only standard diagnostic duodenoscope, 5 F long taper tip catheter, grasping forceps and 5 F stent set containing the stent, 0.021 inch guide wire and the pusher tube. Subsequently, it also facilitates the consecutive dilatation by balloon or graduated dilator for placement of larger plastic stent or expandable metallic stent.

References

1. Sohendra N, Rejjnder Frederix. Palliative bile duct drainage. A new endoscopic method of introducing a transpapillary drainage. Endoscopy 1980; 12:8-11.

2. Sherman S, Lehman GA. Retrograde cholangiopancreatography, Endoscopic biliary and pancreatic drainage. In: Tadataka Yamata, ed. Textbook of Gastroentrology. 3rd ed. Philadelphia: JB Lippincott, 1999; 2718-46.

3. Huibregtse K. Practice of therapeutic endoscopy: Syllabus of Gastrointestinal Endoscopy Workshop. Siriraj Hosp Gaz 1996;48:53-66.

4. Kozarek RA. Endoscopy in the management of malignant obstructive jaundice. Gastrointest. Endosc Clin North Am. 1996;6:153-76.

5. Liguory Cl. Endoscopic Stenting for malignant jaundice. Syllabus of post graduate course in 6th World Congress of Endoscopic Surgery 1998; 102-6,

6. Cotton PB, Williams CB. Therapeutic ERCP, Practical Gastrointestinal Endoscopy, 3rd ed. New York: Blackwell Scientific. 1990; 118-56.

7. Desereunx CE, Binmoellera KF. Endocopic Retrograde Cholangiopancreatography in the next millennium. Gastrointest Endos Clin North Am 2000; 10: 117-33.

Downloads

Published

2001-03-30

How to Cite

1.
Treesaranuwattana S. Biliary Stenting in Tight Malignant Biliary Stricture: A Technical Consideration. Thai J Surg [Internet]. 2001 Mar. 30 [cited 2024 Jul. 18];22(1):15-8. Available from: https://he02.tci-thaijo.org/index.php/ThaiJSurg/article/view/243271

Issue

Section

Surgical Techniques