A Case of Direct Peroral Cholangioscopy-Guided Intraductal Radiofrequency Ablation for Malignancy Biliary Obstruction via Choledochoduodenostomy Orifice / 대한췌담도학회지
Korean Journal of Pancreas and Biliary Tract
; : 140-145, 2015.
Article
de Ko
| WPRIM
| ID: wpr-28887
Bibliothèque responsable:
WPRO
ABSTRACT
BAlthough intraductal radiofrequency ablation (RFA) has been reported to be a feasible treatment of malignancy biliary obstruction in unresectable cholangiocarcinoma, endoscopic retrograde cholangiopancreatography (ERCP)-guided intraductal RFA has a disadvantage that cannot be directly visualize the biliary tract using the fluoroscopic image. On the other hand, direct peroral cholangioscopy-guided intraductal RFA is easy to insert catheter and apply treatment by visualizing the bile duct lesions. We present a case of direct peroral cholangioscopy-guided intraductal RFA without biliary stent in 67-year-old woman patient with cholangiocarcinoma for treatment of malignancy biliary obstruction. In the past, she underwent choledochoduodenostomy for intrahepatic stones. She underwent direct peroral cholangioscopy-guided intraductal RFA via choledochoduodenostomy orifice, and biliary patency was preserved for 90days without additional treatment such as biliary stent and severe complication. Direct peroral cholangioscopy-guided intraductal RFA is expected to be able to reduce the complications of the procedure by ensuring the bile duct lesions. Prospective studies with long term follow up are warranted.
Mots clés
Texte intégral:
1
Indice:
WPRIM
Sujet Principal:
Conduits biliaires
/
Voies biliaires
/
Cholédocostomie
/
Endoprothèses
/
Cholangiopancréatographie rétrograde endoscopique
/
Ablation par cathéter
/
Cholangiocarcinome
/
Cathéters
/
Main
Type d'étude:
Observational_studies
Limites du sujet:
Aged
/
Female
/
Humans
langue:
Ko
Texte intégral:
Korean Journal of Pancreas and Biliary Tract
Année:
2015
Type:
Article