Gupta Anusha, Padwale Vishal, Kirnake Vijendra, Gupta Aishwarya, Chaturvedi Sourav
Department of Gastroenterology, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Department of Obstetrics and Gynaecology, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Cureus. 2024 Jul 19;16(7):e64912. doi: 10.7759/cureus.64912. eCollection 2024 Jul.
Unresectable periampullary malignancies can lead to concomitant duodenal and biliary obstructions, significantly affecting patient quality of life. Effective palliation of these obstructions is crucial for symptom management and improving patient outcomes. Endoscopic techniques provide a minimally invasive approach to address these complications. This report presents a case where endoscopy was successfully used to palliate both duodenal and biliary obstructions in a patient with advanced periampullary malignancy. Endoscopic retrograde cholangiopancreatography was attempted to relieve the biliary obstruction caused by periampullary malignancy; however, the procedure was subsequently abandoned and the patient ultimately underwent percutaneous transhepatic biliary drainage. Furthermore, the use of an endoscope for duodenal stenting to restore gastrointestinal continuity was done. The patient experienced significant symptomatic relief and improved quality of life post-procedure. This case underscores the utility of endoscopic interventions in managing complex obstructions due to advanced malignancies.
无法切除的壶腹周围恶性肿瘤可导致十二指肠和胆道同时梗阻，严重影响患者生活质量。有效缓解这些梗阻对于症状管理和改善患者预后至关重要。内镜技术为解决这些并发症提供了一种微创方法。本报告介绍了一例通过内镜成功缓解晚期壶腹周围恶性肿瘤患者十二指肠和胆道梗阻的病例。尝试通过内镜逆行胰胆管造影术缓解壶腹周围恶性肿瘤引起的胆道梗阻；然而，该操作随后被放弃，患者最终接受了经皮经肝胆道引流术。此外，还使用内镜进行十二指肠支架置入以恢复胃肠道连续性。术后患者症状明显缓解，生活质量得到改善。该病例强调了内镜干预在处理晚期恶性肿瘤所致复杂梗阻方面的实用性。
