Department of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan.
Endosc Ultrasound. 2012 Apr;1(1):36-40. doi: 10.7178/eus.01.006.
Endoscopic biliary stenting for malignant biliary obstruction is currently the gold standard for biliary drainage. Biliary cancer treatment is crucial. Cases of gastric outlet obstruction that includes the duodenum because of cancer invasion and biliary obstruction are seldom observed. The required treatment for such cases is simple biliary stenting and a different treatment for duodenal obstruction. Hence, double stenting for bile duct and duodenal obstruction has drawn attention. In the present review, we state different treatment strategies for malignant duodenal obstruction and then describe double stenting in biliary obstruction that also includes non-biliary cancer malignant lesions and duodenal obstruction.
内镜下胆道支架置入术目前是恶性胆道梗阻的金标准胆道引流方法。胆道癌的治疗至关重要。由于癌症侵犯和胆道梗阻导致的胃出口梗阻病例很少见，包括十二指肠。此类病例的治疗方法是单纯的胆道支架置入术和十二指肠梗阻的不同治疗方法。因此，胆管和十二指肠梗阻的双支架置入术引起了关注。在本综述中，我们阐述了恶性十二指肠梗阻的不同治疗策略，然后描述了胆道梗阻中包括非胆道癌恶性病变和十二指肠梗阻的双支架置入术。
