Benign biliary stricture caused by transduodenal lumen-apposing metal stent placement for pancreatic acute necrotic collection
A 58-year-old male patient presented with acute alcohol-induced severe necrotizing pancreatitis. He reported a symptomatic acute necrotic collection in the pancreatic head. No improvements were observed despite one week of antimicrobial therapy. Endoscopic ultrasound-guided drainage via the superior...
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| Format: | Article |
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Society of Gastrointestinal Intervention
2025-01-01
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| Series: | International Journal of Gastrointestinal Intervention |
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| Online Access: | https://www.ijgii.org/journal/view.html?doi=10.18528/ijgii240049 |
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| author | Shuhei Shintani Takuya Okamoto Kosuke Hiroe Hidenori Kimura Hiroto Inoue Atsushi Nishida Osamu Inatomi |
| author_facet | Shuhei Shintani Takuya Okamoto Kosuke Hiroe Hidenori Kimura Hiroto Inoue Atsushi Nishida Osamu Inatomi |
| author_sort | Shuhei Shintani |
| collection | DOAJ |
| description | A 58-year-old male patient presented with acute alcohol-induced severe necrotizing pancreatitis. He reported a symptomatic acute necrotic collection in the pancreatic head. No improvements were observed despite one week of antimicrobial therapy. Endoscopic ultrasound-guided drainage via the superior duodenal angle was conducted and a lumen-apposing metal stent (LAMS) was placed. He had an obstructive jaundice progression 3 days postintervention. Endoscopic retrograde cholangiography showed that the cystic side flange of the LAMS caused the distal bile duct smooth stricture. The jaundice improved immediately after the placement of plastic stent in the bile duct, and the LAMS could be removed on the 15th day after placement. The plastic stent was removed after 4 months, and the biliary stricture improved, with no recurrence of jaundice. Here, we report a case of successful conservative treatment of a benign biliary stricture caused by the distal flange of the LAMS. |
| format | Article |
| id | doaj-art-0d653e6411344bf3afc10543bcafbab4 |
| institution | Kabale University |
| issn | 2636-0004 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Society of Gastrointestinal Intervention |
| record_format | Article |
| series | International Journal of Gastrointestinal Intervention |
| spelling | doaj-art-0d653e6411344bf3afc10543bcafbab42025-01-22T15:13:37ZengSociety of Gastrointestinal InterventionInternational Journal of Gastrointestinal Intervention2636-00042025-01-01141242710.18528/ijgii240049ijgii240049Benign biliary stricture caused by transduodenal lumen-apposing metal stent placement for pancreatic acute necrotic collectionShuhei Shintani0Takuya Okamoto1Kosuke Hiroe2Hidenori Kimura3Hiroto Inoue4Atsushi Nishida5Osamu Inatomi6Department of Gastroenterology, Shiga University of Medical Science, Otsu, JapanDepartment of Gastroenterology, Shiga University of Medical Science, Otsu, JapanDepartment of Gastroenterology, Shiga University of Medical Science, Otsu, JapanDepartment of Endoscopy, Shiga University of Medical Science, Otsu, JapanDepartment of Endoscopy, Shiga University of Medical Science, Otsu, JapanDepartment of Gastroenterology, Shiga University of Medical Science, Otsu, JapanDepartment of Gastroenterology, Shiga University of Medical Science, Otsu, JapanA 58-year-old male patient presented with acute alcohol-induced severe necrotizing pancreatitis. He reported a symptomatic acute necrotic collection in the pancreatic head. No improvements were observed despite one week of antimicrobial therapy. Endoscopic ultrasound-guided drainage via the superior duodenal angle was conducted and a lumen-apposing metal stent (LAMS) was placed. He had an obstructive jaundice progression 3 days postintervention. Endoscopic retrograde cholangiography showed that the cystic side flange of the LAMS caused the distal bile duct smooth stricture. The jaundice improved immediately after the placement of plastic stent in the bile duct, and the LAMS could be removed on the 15th day after placement. The plastic stent was removed after 4 months, and the biliary stricture improved, with no recurrence of jaundice. Here, we report a case of successful conservative treatment of a benign biliary stricture caused by the distal flange of the LAMS.https://www.ijgii.org/journal/view.html?doi=10.18528/ijgii240049cholestasispancreatic cystself expandable metallic stentsultrasonic therapy |
| spellingShingle | Shuhei Shintani Takuya Okamoto Kosuke Hiroe Hidenori Kimura Hiroto Inoue Atsushi Nishida Osamu Inatomi Benign biliary stricture caused by transduodenal lumen-apposing metal stent placement for pancreatic acute necrotic collection International Journal of Gastrointestinal Intervention cholestasis pancreatic cyst self expandable metallic stents ultrasonic therapy |
| title | Benign biliary stricture caused by transduodenal lumen-apposing metal stent placement for pancreatic acute necrotic collection |
| title_full | Benign biliary stricture caused by transduodenal lumen-apposing metal stent placement for pancreatic acute necrotic collection |
| title_fullStr | Benign biliary stricture caused by transduodenal lumen-apposing metal stent placement for pancreatic acute necrotic collection |
| title_full_unstemmed | Benign biliary stricture caused by transduodenal lumen-apposing metal stent placement for pancreatic acute necrotic collection |
| title_short | Benign biliary stricture caused by transduodenal lumen-apposing metal stent placement for pancreatic acute necrotic collection |
| title_sort | benign biliary stricture caused by transduodenal lumen apposing metal stent placement for pancreatic acute necrotic collection |
| topic | cholestasis pancreatic cyst self expandable metallic stents ultrasonic therapy |
| url | https://www.ijgii.org/journal/view.html?doi=10.18528/ijgii240049 |
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