Two approaches in the treatment of malignant obstructive jaundice using nitinol stents
https://doi.org/10.20340/vmi-rvz.2022.1.CASE.3
Abstract
The article presents our experience of observing two different approaches for endoscopic retrograde drainage in patients with malignant pathology of the pancreatobiliary zone, complicated by the bile duct obstruction. In one case, in case of dysfunction of the installed uncovered stent as a result of incrustation with bile salts and/or tumor invasion, stent-to-stent restenting was performed. In the second case, if it was impossible to pass the guidewire retrogradely beyond the area of the tumor narrowing, an alternative method was used – bringing it down by percutaneous transhepatic access towards the endoscope to install a retrograde stent delivery system along it using the "Rendezvous" method.
About the Authors
R. M. Nagaev
Yusupovskaya Hospital (OOO Neuro-Clinic)
Russian Federation
Competing Interests:
Russian Federation
Moscow
Competing Interests:
The authors declare no competing interests.
I. V. Yangirov
Yusupovskaya Hospital (OOO Neuro-Clinic)
Russian Federation
Competing Interests:
Russian Federation
Moscow
Competing Interests:
The authors declare no competing interests.
D. Y. Frantsev
Research Institute of Clinical and Experimental Radiology, N. N. Blokhin Oncology Research Center of the Ministry of Health of Russia
Russian Federation
Competing Interests:
Russian Federation
Moscow
Competing Interests:
The authors declare no competing interests.
G. A. Starkov
Yusupovskaya Hospital (OOO Neuro-Clinic)
Russian Federation
Competing Interests:
Russian Federation
Moscow
Competing Interests:
The authors declare no competing interests.
G. A. Gasanbekov
Yusupovskaya Hospital (OOO Neuro-Clinic)
Russian Federation
Competing Interests:
Russian Federation
Moscow
Competing Interests:
The authors declare no competing interests.
A. V. Laskevich
Yusupovskaya Hospital (OOO Neuro-Clinic)
Russian Federation
Competing Interests:
Russian Federation
Moscow
Competing Interests:
The authors declare no competing interests.
References
1. Tarabukin A.V., Mizgirjov D.V., Jepshtejn A.M., Pozdeev V.N., Pozdeev S.S., Duberman B.L. Biliary Decompression in Malignant Obstructive Jaundice. Annaly khirurgicheskoy gepatologii = Annals of HPB Surgery. 2015;20(3):54-58. (In Russ). https://doi.org/10.16931/1995-5464.2015354-58
2. Shapoval’yants S.G., Pan’kov A.G., Mylnikov A.G., Budzinsky S.A., Orlov S.Yu. Potentials of endoscopic bilioduodenal stenting in treatment of neoplastic and fibrotic strictures of extrahepatic bile ducts. Russian Journal of Gastroenterology, Hepatology, Coloproctology. 2008;18(6):57-63. (In Russ).
3. Nartajlakov M.A. Surgery of the liver and biliary tract. Feniks, 2007. 400ºp. (In Russ).
4. Nartajlakov M.A., Sokolov S.V., Sokolov V.P., Gricaenko A.I., Muhamed'janov I.F., Risberg R.Ju. Analysis of complications of antegrade X-ray endobiliary interventions in patients with obstructive jaundice. Bashkortostan Medical Journal. 2017;4(70):9-12. (In Russ).
5. Taylor M.C., McLeod R.S., Langer B. Biliary stenting versus bypass surgery for the palliation of malignant distal bile duct obstruction: a meta-analysis. Liver Transplantation. 2000;6(3):302–308. PMID: 10827230 https://doi.org/10.1053/lv.2000.5196
6. Bakhru M., Tekola B., Kahaleh M. Endoscopic palliation of pancreatic cancer. Cancers. 2011 Apr 13;3(2):1947-56. https://doi.org/10.3390/cancers3021947
7. Galperin E.I. Classification of the Obstructive Jaundice Severity. Annaly khirurgicheskoy gepatologii. 2012;17(2):26-33. (In Russ).
8. Ermolov A.C., Jurchenko C.B., Dasaev H.A. Decompression of the biliary tract to prepare patients with obstructive jaundice and cholangitis for radical surgery. Khirurgiya. Zhurnal im. N.I. Pirogova = Pirogov Russian Journal of Surgery. 1994;9:24-27. (In Russ).
9. Shevchenko Ju.L., Vetshev P.S., Stojko O. M. Surgical tactics in obstructive jaundice syndrome. Bulletin of Pirogov National Medical & Surgical Center. 2009;4(1):10-13. (In Russ).
10. Galperin E.I., Kotovskiy A.E., Momunova O.N. Rate of biliary ducts’ decompression by the tumorous obstructive jaundice. Khirurgiya. Zhurnal im. N.I. Pirogova = Pirogov Russian Journal of Surgery. 2011;8:33-40. (In Russ).
11. Kulezneva Yu.V., Bruslik S.V., Musaev G.H., Israilov R.E., Kirillova M.S. Percutaneous Modalities of Biliary Decompression: Percutaneous Modalities of Biliary Decompression: Development and Disputable Items. Annaly khirurgicheskoy gepatologii = Annals of HPB Surgery. 2011;3:35-43. (In Russ).
12. Beissert M., Wittenberg G., Sandstede J. et al. Metallic stents and plastic endoprostheses in percutaneous treatment of biliary obstruction. Z. Gastroenterol. 2002;40:503-510.
13. Burmester E., Niehaus J., Leineweber T. et al. EUS-cholangiodrainage of the bile duct: report of 4 cases. Gastrointestinal Endoscopy. 2003;57:246-251.
14. Giovannini M., Moutardier V., Pesenti C. et al. Endoscopic ultrasound-guided bilioduodenal anastomosis: a new technique for biliary drainage. Endoscopy. 2001;33:898-900.
15. Itoi T., Itokawa F., Sofuni A. et al. Endoscopic ultrasound guided choledochoduodenostomy for patients with failed endoscopic retrograde cholangiopancreatography. World J. Gastroenterol. 2008;14:6078-6082.
16. Starkov Ju.G., Solodinina E.N., Shishin K.V. Temporary endoscopic bile duct stenting. Zhurnal im. N.I. Pirogova = Pirogov Russian Journal of Surgery. 2007;6:47-61. (In Russ).
17. Hrustaleva M.V., Shatverdjan D.G., Godzhello Je.A. Endoscopic duodenobiliary drainage in the treatment of tumor stenosis of the pancreatobiliary zone. Clinical and experimental surgery. Journal named by Academician B.V. Petrovsky. 2014;3:90-98. (In Russ).
18. Zhdanov A.V., Korymasov E.A., Androsov A.N., Lezhnev M., Barilko E.V., Zhdanova E.S. Stenting of the bile ducts according to the rendezvous method in the treatment of patients with obstructive jaundice of tumor etiology. Endoskopicheskaya Khirurgia. 2021;27(2):17-26. (In Russ).
19. Takahashi E., Fukasawa M., Sato T., et al. Biliary drainage strategy of unresectable malignant hilar strictures by computed tomography volumetry. World J Gastroenterol. 2015 Apr 28;21(16):4946–4953.
Review
For citations:
Nagaev R.M., Yangirov I.V., Frantsev D.Y., Starkov G.A., Gasanbekov G.A., Laskevich A.V. Two approaches in the treatment of malignant obstructive jaundice using nitinol stents. Bulletin of the Medical Institute "REAVIZ" (REHABILITATION, DOCTOR AND HEALTH). 2022;(1):89-98. (In Russ.) https://doi.org/10.20340/vmi-rvz.2022.1.CASE.3
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