BENIGN DISTAL BILIARY STRICTURE DUE TO SEVERE ACUTE PANCREATITIS SUCCESSFULLY TREATED WITH ENDOSONOGRAPHY-GUIDED BILIARY DRAINAGE

DOI 16 References
  • KINUGASA Hideaki
    Department of Gastroenterology and Hepatology, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences.
  • KAWAMOTO Hirofumi
    Department of Internal Medicine, Kawasaki Hospital, Kawasaki Medical School.
  • NOMA Yasuhiro
    Department of Gastroenterology and Hepatology, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences.
  • SONOYAMA Takayuki
    Department of Gastroenterology and Hepatology, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences.
  • TSUTSUMI Kouichirou
    Department of Gastroenterology and Hepatology, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences.
  • FUJII Masakuni
    Department of Gastroenterology and Hepatology, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences.
  • KURIHARA Naoko
    Department of Gastroenterology and Hepatology, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences.
  • KATO Hironari
    Department of Gastroenterology and Hepatology, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences.
  • OKADA Hiroyuki
    Department of Gastroenterology and Hepatology, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences.
  • YAMAMOTO Kazuhide
    Department of Gastroenterology and Hepatology, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences.

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Other Title
  • ERCP後重症急性膵炎による下部胆管狭窄に対して， 一時的なEndosonography-guided biliary drainageを施行した1例

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We conducted endosonography-guided biliary drainage (ESBD) for a patient with a benign distal biliary stricture. The patient was a 37-year-old man who had undergone endoscopic retrograde cholangiopancreatography (ERCP) under the suspicion of a common bile duct stone. After the procedure, severe acute pancreatitis occurred, and the infected peripancreatic necrosis induced a duodenal stenosis with a distal biliary stricture. We performed ESBD to resolve the morbidity, because the duodenal stenosis precluded the transpapillary drainage and intrahepatic bile duct did not dilate widely enough to allow percutaneous transhepatic biliary drainage. As the peripancreatic abscess resolved with endoscopic and percutaneous drainage, all catheters and stents including ones inserted under ESBD were withdrawn. This case suggested that ESBD may become an alternative to the endoscopic biliary drainage for benign biliary strictures.

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