TWO CASES OF MALIGNANT BILIARY OBSTRUCTION SUCCESSFULLY TREATED BY PERCUTANOUS TRANSHEPATIC HEPATICOGASTROSTOMY

DOI 6 References
  • KUSANO Fumihiko
    Department of Internal Medicine, Tsuchiura Kyodo General Hospital
  • YAMAMOTO Chikara
    The Department of Radiology, Tsuchiura Kyodo General Hospital
  • MAEDA Manabu
    The Department of Radiology, Tsuchiura Kyodo General Hospital
  • SAKUMA Ikuo
    Department of Internal Medicine, Tsuchiura Kyodo General Hospital
  • MAEKAWA Shinya
    Devision of Health Sciences, Faculty of Medicine, Tokyo Medical and Dental University
  • SAKAI Yoshinori
    Devision of Health Sciences, Faculty of Medicine, Tokyo Medical and Dental University
  • TAZAWA Junichi
    Devision of Health Sciences, Faculty of Medicine, Tokyo Medical and Dental University
  • SATO Chifumi
    Devision of Health Sciences, Faculty of Medicine, Tokyo Medical and Dental University

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Other Title
  • 経皮経肝胆道胃内瘻術を施行しえた悪性胆道狭窄の2例

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Abstract

An implantation of biliary tube stents or metallic stents is considered to offer im-proved long term palliation for inoperable cases of malignant biliary obstruction, whereas the obstruction of the devices is often complicated. Recently, Gilles et al. reported percutaneous transhepatic hepaticogastrostomy, by which the obstruction of the stent could be avoided. We performed this therapy in two patients with unresectable malignant biliary obstruction for the first time in Japan with successfull results; the patency of the stent was maintained. This technique seems to become one of the useful palliative therapies for the cases of malignant biliary obstruction.

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