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Hilar Malignant Biliary Obstruction Treated with Four Metallic Stents Involving a New Slim Device
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- Noguchi Yuki
- Department of Gastroenterology, School of Medicine, Fukushima Medical University, Japan
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- Sugimoto Mitsuru
- Department of Gastroenterology, School of Medicine, Fukushima Medical University, Japan
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- Kiko Yuichiro
- Department of Diagnostic Pathology, School of Medicine, Fukushima Medical University, Japan
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- Takagi Tadayuki
- Department of Gastroenterology, School of Medicine, Fukushima Medical University, Japan
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- Suzuki Rei
- Department of Gastroenterology, School of Medicine, Fukushima Medical University, Japan
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- Konno Naoki
- Department of Gastroenterology, School of Medicine, Fukushima Medical University, Japan
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- Asama Hiroyuki
- Department of Gastroenterology, School of Medicine, Fukushima Medical University, Japan
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- Sato Yuki
- Department of Gastroenterology, School of Medicine, Fukushima Medical University, Japan
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- Irie Hiroki
- Department of Gastroenterology, School of Medicine, Fukushima Medical University, Japan
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- Nakamura Jun
- Department of Gastroenterology, School of Medicine, Fukushima Medical University, Japan Department of Endoscopy, Fukushima Medical University Hospital, Japan
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- Takasumi Mika
- Department of Gastroenterology, School of Medicine, Fukushima Medical University, Japan
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- Hashimoto Minami
- Department of Gastroenterology, School of Medicine, Fukushima Medical University, Japan Department of Endoscopy, Fukushima Medical University Hospital, Japan
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- Kato Tsunetaka
- Department of Gastroenterology, School of Medicine, Fukushima Medical University, Japan Department of Endoscopy, Fukushima Medical University Hospital, Japan
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- Kobashi Ryoichiro
- Department of Gastroenterology, School of Medicine, Fukushima Medical University, Japan
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- Hashimoto Yuko
- Department of Diagnostic Pathology, School of Medicine, Fukushima Medical University, Japan
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- Hikichi Takuto
- Department of Endoscopy, Fukushima Medical University Hospital, Japan
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- Ohira Hiromasa
- Department of Gastroenterology, School of Medicine, Fukushima Medical University, Japan
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Description
<p>Endoscopic hilar multiple stenting is challenging. A 68-year-old patient had self-expandable metallic stents (SEMSs) inserted for unresectable hilar malignant biliary obstruction. After the SEMSs were inserted into the left hepatic duct and bile duct branch of segment (B) 6, a new SEMS with a wide mesh and slim delivery system was inserted into the right anterior hepatic duct. However, liver abscess and dilated B7 were observed on computed tomography; therefore, an additional new SEMS was quickly and easily inserted into B7. After the placement of these four SEMSs, the liver abscess improved. The new SEMS was effective for hilar multiple biliary drainage. </p>
Journal
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- Internal Medicine
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Internal Medicine 60 (12), 1871-1876, 2021-06-15
The Japanese Society of Internal Medicine