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Combined Endoscopic Stent-In-Stent Placement by Lumen-Apposing Metal Stents Through Self-Expanding Metal Stents for Simultaneous Malignant Biliary and Duodenal Obstruction

Title: Combined Endoscopic Stent-In-Stent Placement by Lumen-Apposing Metal Stents Through Self-Expanding Metal Stents for Simultaneous Malignant Biliary and Duodenal Obstruction
Authors: Metelli, F; Pezzoli, A; Fabbri, C; Pizzo, E; Arena, R; Cifalà, V; Simone, L; Solimando, R; Merighi, A
Contributors: Metelli, F; Pezzoli, A; Fabbri, C; Pizzo, E; Arena, R; Cifalà, V; Simone, L; Solimando, R; Merighi, A
Publication Year: 2021
Collection: IRIS Università degli Studi di Bologna (CRIS - Current Research Information System)
Subject Terms: Combined Endoscopic Stent-In-Stent Placement by Lumen-Apposing Metal Stents Through Self-Expanding Metal Stents for Simultaneous Malignant Biliary and Duodenal Obstruction
Description: The palliation of simultaneous biliary and duodenal obstruction in patients with advanced pancreatic cancer is a clinically and technically challenging scenario. Endoscopic procedures are a valid alternative to surgical or percutaneous transhepatic biliary drainage. The availability of self-expanding metal stents (SEMSs) and lumen-apposing metal stents (LAMS) have expanded therapeutic options. We describe a case in which biliary and duodenal obstructions were treated successfully with the combined use of SEMS and LAMS devices. Endoscopic ultrasound-guided biliary drainage with the use of new LAMS and a duodenal SEMS can be a valid option in expert hands as a palliative and minimally invasive treatment for gastric outlet and biliary obstruction.
Document Type: article in journal/newspaper
File Description: ELETTRONICO
Language: English
Relation: info:eu-repo/semantics/altIdentifier/pmid/34841002; info:eu-repo/semantics/altIdentifier/wos/WOS:000721535500001; volume:8; issue:11; firstpage:1; lastpage:4; numberofpages:4; journal:ACG CASE REPORTS JOURNAL; https://hdl.handle.net/11585/1040527; https://journals.lww.com/acgcr/fulltext/2021/11000/combined_endoscopic_stent_in_stent_placement_by.20.aspx
DOI: 10.14309/crj.0000000000000704
Availability: https://hdl.handle.net/11585/1040527; https://doi.org/10.14309/crj.0000000000000704; https://journals.lww.com/acgcr/fulltext/2021/11000/combined_endoscopic_stent_in_stent_placement_by.20.aspx
Rights: info:eu-repo/semantics/openAccess ; license:Licenza per Accesso Aperto. Creative Commons Attribuzione - Non commerciale - Non opere derivate (CCBYNCND) ; license uri:iris.PUB17
Accession Number: edsbas.D268AFF0
Database: BASE