ABSTRACT
This case report describes the first Danish case of endoluminal radiofrequency ablation (RFA) of malignant biliary obstruction due to a Klatskin tumour in a 59-year-old male undergoing neoadjuvant therapy. The treatment was interrupted several times due to recurrent occlusions of the bile duct stents. The patient was offered endoluminal RFA of the central bile ducts in order to reduce his tumour burden and possibly achieve longer stent patency, so the palliative therapy could be resumed. The procedure was performed successfully without any adverse events achieving access to previously occluded left hepatic duct.
Subject(s)
Bile Duct Neoplasms , Catheter Ablation , Cholestasis , Radiofrequency Ablation , Male , Humans , Middle Aged , Bile Duct Neoplasms/surgery , Bile Duct Neoplasms/complications , Treatment Outcome , Catheter Ablation/adverse effects , Catheter Ablation/methods , Radiofrequency Ablation/adverse effects , Cholestasis/etiology , Cholestasis/surgery , Stents/adverse effectsABSTRACT
Insulinomas are rare neoplasms which may cause significant symptoms and substantially reduce quality of life. In operable patients, the current treatment is primarily surgery with either enucleation or resection of all or parts of the gland. This treatment is associated with high morbidity and long convalescence. Endoscopic ultrasound-guided radiofrequency ablation is a new and minimally invasive treatment for patients with insulinomas. The purpose of this review is to draw attention to the method and to communicate our preliminary experience with this procedure in Denmark.
