Follow-up computed tomography can prevent stent migration after endoscopic ultrasound-guided hepaticogastrostomy
A 61-year-old man with obstructive jaundice caused by distal bile duct cancer recurrence was admitted to our hospital. As treatment, we performed endoscopic ultrasound-guided hepaticogastrostomy and placed a self-expanding metal stent. Computed tomography was performed immediately after the procedur...
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| Format: | Article |
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Society of Gastrointestinal Intervention
2025-01-01
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| Series: | International Journal of Gastrointestinal Intervention |
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| Online Access: | https://www.ijgii.org/journal/view.html?doi=10.18528/ijgii240060 |
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| author | Yasuhiro Komori Akihisa Ohno Nao Fujimori Kazuhide Matsumoto Keijiro Ueda Kazuki Takeishi Tomoharu Yoshizumi Yoshihiro Ogawa |
| author_facet | Yasuhiro Komori Akihisa Ohno Nao Fujimori Kazuhide Matsumoto Keijiro Ueda Kazuki Takeishi Tomoharu Yoshizumi Yoshihiro Ogawa |
| author_sort | Yasuhiro Komori |
| collection | DOAJ |
| description | A 61-year-old man with obstructive jaundice caused by distal bile duct cancer recurrence was admitted to our hospital. As treatment, we performed endoscopic ultrasound-guided hepaticogastrostomy and placed a self-expanding metal stent. Computed tomography was performed immediately after the procedure to ensure proper stent placement. Although repeat imaging the next day revealed that the stent on the hepaticogastrostomy route had shortened, the stent on the gastric side maintained sufficient length. However, 11 days after the procedure, the stomach-to-liver distance had increased, and the stent on the gastric side was significantly shortened. Endoscopic imaging revealed that the stent had almost migrated, and we added a fully covered self-expanding metal stent into the previous metallic stent via the hepaticogastrostomy route. The patient was discharged 19 days after the initial procedure without complications. Computed tomography performed 40 days after the hepaticogastrostomy revealed that the initial stent had migrated into the abdominal cavity, but the second stent was in an appropriate position. In conclusion, repeated monitoring by computed tomography after hepaticogastrostomy procedure may be an effective method for preventing stent migration in high-risk cases. |
| format | Article |
| id | doaj-art-9b9a53c8cd454bdea1756f8a28ef5f6f |
| institution | Kabale University |
| issn | 2636-0004 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Society of Gastrointestinal Intervention |
| record_format | Article |
| series | International Journal of Gastrointestinal Intervention |
| spelling | doaj-art-9b9a53c8cd454bdea1756f8a28ef5f6f2025-01-22T15:13:38ZengSociety of Gastrointestinal InterventionInternational Journal of Gastrointestinal Intervention2636-00042025-01-01141353810.18528/ijgii240060ijgii240060Follow-up computed tomography can prevent stent migration after endoscopic ultrasound-guided hepaticogastrostomyYasuhiro Komori0Akihisa Ohno1Nao Fujimori2Kazuhide Matsumoto3Keijiro Ueda4Kazuki Takeishi5Tomoharu Yoshizumi6Yoshihiro Ogawa7Department of Medicine and Bioregulatory Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, JapanDepartment of Medicine and Bioregulatory Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, JapanDepartment of Medicine and Bioregulatory Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, JapanDepartment of Medicine and Bioregulatory Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, JapanDepartment of Medicine and Bioregulatory Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, JapanDepartment of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, JapanDepartment of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, JapanDepartment of Medicine and Bioregulatory Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, JapanA 61-year-old man with obstructive jaundice caused by distal bile duct cancer recurrence was admitted to our hospital. As treatment, we performed endoscopic ultrasound-guided hepaticogastrostomy and placed a self-expanding metal stent. Computed tomography was performed immediately after the procedure to ensure proper stent placement. Although repeat imaging the next day revealed that the stent on the hepaticogastrostomy route had shortened, the stent on the gastric side maintained sufficient length. However, 11 days after the procedure, the stomach-to-liver distance had increased, and the stent on the gastric side was significantly shortened. Endoscopic imaging revealed that the stent had almost migrated, and we added a fully covered self-expanding metal stent into the previous metallic stent via the hepaticogastrostomy route. The patient was discharged 19 days after the initial procedure without complications. Computed tomography performed 40 days after the hepaticogastrostomy revealed that the initial stent had migrated into the abdominal cavity, but the second stent was in an appropriate position. In conclusion, repeated monitoring by computed tomography after hepaticogastrostomy procedure may be an effective method for preventing stent migration in high-risk cases.https://www.ijgii.org/journal/view.html?doi=10.18528/ijgii240060adverse effectsbile duct neoplasmsendosonographyjaundicetomography, x-ray computed |
| spellingShingle | Yasuhiro Komori Akihisa Ohno Nao Fujimori Kazuhide Matsumoto Keijiro Ueda Kazuki Takeishi Tomoharu Yoshizumi Yoshihiro Ogawa Follow-up computed tomography can prevent stent migration after endoscopic ultrasound-guided hepaticogastrostomy International Journal of Gastrointestinal Intervention adverse effects bile duct neoplasms endosonography jaundice tomography, x-ray computed |
| title | Follow-up computed tomography can prevent stent migration after endoscopic ultrasound-guided hepaticogastrostomy |
| title_full | Follow-up computed tomography can prevent stent migration after endoscopic ultrasound-guided hepaticogastrostomy |
| title_fullStr | Follow-up computed tomography can prevent stent migration after endoscopic ultrasound-guided hepaticogastrostomy |
| title_full_unstemmed | Follow-up computed tomography can prevent stent migration after endoscopic ultrasound-guided hepaticogastrostomy |
| title_short | Follow-up computed tomography can prevent stent migration after endoscopic ultrasound-guided hepaticogastrostomy |
| title_sort | follow up computed tomography can prevent stent migration after endoscopic ultrasound guided hepaticogastrostomy |
| topic | adverse effects bile duct neoplasms endosonography jaundice tomography, x-ray computed |
| url | https://www.ijgii.org/journal/view.html?doi=10.18528/ijgii240060 |
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