Matsumi Akihiro, Kato Hironari, Saragai Yousuke, Mizukawa Sho, Takada Saimon, Muro Shinichiro, Uchida Daisuke, Tomoda Takeshi, Matsumoto Kazuyuki, Iwamuro Masaya, Horiguchi Shigeru, Kawahara Yoshiro, Okada Hiroyuki
Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Gastroenterology and Hepatology, 2-5-1 Shikata-cho, Kita-ku, Okayama City, Okayama 700-8558, Japan.
Case Rep Gastrointest Med. 2018 Jun 10;2018:7201967. doi: 10.1155/2018/7201967. eCollection 2018.
We report the cases of two patients who underwent endoscopic ultrasound-guided hepaticogastrostomy (EUS-HGS) using metallic stents (MS) for recurrent cholangitis due to benign biliary stenosis. The patients had repeatedly undergone double-balloon endoscopy and anastomotic stenosis. Thus, EUS-HGS was performed. The procedures were successful, and placement of a covered metallic stent (C-MS) relieved cholangitis. The occurrence of cholangitis was subsequently considerably reduced. For patients with postoperative recurrent cholangitis, EUS-HGS with MS should be considered because of its efficacy and safety.
我们报告了两例因良性胆管狭窄导致复发性胆管炎而接受内镜超声引导下肝胃造瘘术（EUS-HGS）并使用金属支架（MS）的患者病例。这两名患者曾多次接受双气囊内镜检查及吻合口狭窄治疗。因此，实施了EUS-HGS。手术成功，置入覆膜金属支架（C-MS）缓解了胆管炎。随后胆管炎的发生显著减少。对于术后复发性胆管炎患者，鉴于其有效性和安全性，应考虑采用MS进行EUS-HGS。
