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Metelli F, Pezzoli A, Fabbri C, et al. Combined Endoscopic Stent-In-Stent Placement by Lumen-Apposing Metal Stents Through Self-Expanding Metal Stents for Simultaneous Malignant Biliary and Duodenal Obstruction. ACG Case Rep J. 2021;8(11):e00704doi: 10.14309/crj.0000000000000704.
Metelli, F., Pezzoli, A., Fabbri, C., Pizzo, E., Arena, R., Cifalà, V., Simone, L., Solimando, R., & Merighi, A. (2021). Combined Endoscopic Stent-In-Stent Placement by Lumen-Apposing Metal Stents Through Self-Expanding Metal Stents for Simultaneous Malignant Biliary and Duodenal Obstruction. ACG case reports journal, 8(11), e00704. https://doi.org/10.14309/crj.0000000000000704
Metelli, Flavio, et al. "Combined Endoscopic Stent-In-Stent Placement by Lumen-Apposing Metal Stents Through Self-Expanding Metal Stents for Simultaneous Malignant Biliary and Duodenal Obstruction." ACG case reports journal vol. 8,11 (2021): e00704. doi: https://doi.org/10.14309/crj.0000000000000704
Metelli F, Pezzoli A, Fabbri C, Pizzo E, Arena R, Cifalà V, Simone L, Solimando R, Merighi A. Combined Endoscopic Stent-In-Stent Placement by Lumen-Apposing Metal Stents Through Self-Expanding Metal Stents for Simultaneous Malignant Biliary and Duodenal Obstruction. ACG Case Rep J. 2021 Nov 23;8(11):e00704. doi: 10.14309/crj.0000000000000704. eCollection 2021 Nov. PMID: 34841002; PMCID: PMC8613338.
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ACG Case Rep J. 2021 Nov 23;8(11):e00704. doi: 10.14309/crj.0000000000000704. eCollection 2021 Nov.

Combined Endoscopic Stent-In-Stent Placement by Lumen-Apposing Metal Stents Through Self-Expanding Metal Stents for Simultaneous Malignant Biliary and Duodenal Obstruction.

ACG case reports journal

Flavio Metelli, Alessandro Pezzoli, Carlo Fabbri, Elena Pizzo, Rosario Arena, Viviana Cifalà, Loredana Simone, Riccardo Solimando, Alberto Merighi

Affiliations

  1. Department of Gastroenterology and GI Endoscopy, University Hospital, Ferrara, Italy.
  2. Department of Gastroenterology and GI Endoscopy, Forli-Cesena, Italy.
  3. Department of Health Economics, University College of London, London, United Kingdom.

PMID: 34841002 PMCID: PMC8613338 DOI: 10.14309/crj.0000000000000704

Abstract

The palliation of simultaneous biliary and duodenal obstruction in patients with advanced pancreatic cancer is a clinically and technically challenging scenario. Endoscopic procedures are a valid alternative to surgical or percutaneous transhepatic biliary drainage. The availability of self-expanding metal stents (SEMSs) and lumen-apposing metal stents (LAMS) have expanded therapeutic options. We describe a case in which biliary and duodenal obstructions were treated successfully with the combined use of SEMS and LAMS devices. Endoscopic ultrasound-guided biliary drainage with the use of new LAMS and a duodenal SEMS can be a valid option in expert hands as a palliative and minimally invasive treatment for gastric outlet and biliary obstruction.

© 2021 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of The American College of Gastroenterology.

References

  1. Surg Endosc. 2021 Jan 28;: - PubMed
  2. Endoscopy. 2014 Mar;46(3):252-5 - PubMed
  3. Endoscopy. 2007 May;39(5):440-7 - PubMed
  4. Gastrointest Endosc. 2009 May;69(6):1059-66 - PubMed
  5. Gastrointest Endosc. 2017 May;85(5):904-914 - PubMed
  6. Dig Dis Sci. 2016 Mar;61(3):684-703 - PubMed
  7. VideoGIE. 2019 Jan 26;4(3):131-132 - PubMed
  8. Therap Adv Gastroenterol. 2017 Jun;10(6):483-493 - PubMed
  9. Br J Surg. 1988 Dec;75(12):1166-8 - PubMed
  10. Lancet. 1994 Dec 17;344(8938):1655-60 - PubMed
  11. Endoscopy. 2004 Jun;36(6):543-50 - PubMed
  12. Am J Gastroenterol. 2006 Apr;101(4):735-42 - PubMed
  13. Gastrointest Endosc. 2015 Dec;82(6):1039-46 - PubMed
  14. Endosc Int Open. 2018 Dec;6(12):E1395-E1397 - PubMed
  15. Surg Laparosc Endosc Percutan Tech. 2018 Jun;28(3):183-187 - PubMed
  16. Surg Endosc. 2016 Nov;30(11):5002-5008 - PubMed
  17. Gastrointest Endosc Clin N Am. 2017 Oct;27(4):681-705 - PubMed
  18. Surg Laparosc Endosc Percutan Tech. 2010 Dec;20(6):410-5 - PubMed

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