書誌事項
- タイトル別名
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- Duodenoscopical Implantation of Two Pieces of Self-Expandable Metallic Stents in a Patient with Cholangiocarcinoma at the Hilum of the Liver. Report of a Case.
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A 84-year-old male was admitted to our hospital because of jaundice and diagnosed as having inoperable cholangiocarcinoma at the hilum of the liver. Endoscopic retrograde cholahgiopancreatography (FRCP) revealed a severe stricture of bilateral hepatic bile ducts and two endoscopic naso-biliary drainage (ENBD) tubes were inserted into each hepatic bile duct. As serum bilirubin level decreased day by day, we attempted to implant two pieces of self-expandable metallic stents, Wallstent, on his 15th day in hospital. One Wallstent was introduced and implanted along the left ENBD tube. Subsequently, duodenoscope was inserted again and the other Wallstent was implanted along the right ENBD tube. Although the first stent was already implanted, it was easy to insert the second stent and both of two stents were expanded adequately. The patient was discharged on his 22nd day in hospital. No obstruction of the stents occured and he died of heart failure 3 months later. While transpapillary stenting is very useful to shorten hospital stay, it had been presumed impossible to duodenoscopically implant two pieces of self-expandable metallic stents into bilateral hepatic bile ducts. However, we experienced a case with cholangiocarcinoma at the hilum in whom two pieces of Wallstents could be implanted simultaneously using duodenoscopy.
収録刊行物
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- 日本消化器内視鏡学会雑誌
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日本消化器内視鏡学会雑誌 38 (5), 1214-1219, 1996
一般社団法人 日本消化器内視鏡学会
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詳細情報 詳細情報について
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- CRID
- 1390282679193063040
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- NII論文ID
- 130004253991
- 10007036152
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- NII書誌ID
- AN00192102
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- ISSN
- 18845738
- 03871207
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- 本文言語コード
- ja
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- データソース種別
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- JaLC
- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可