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Case Report
Refractory benign biliary stricture due to chronic pancreatitis in two patients treated using endoscopic ultrasound-guided choledochoduodenostomy fistula creation: case reports
Sho Ishikawa, Nozomi Okuno, Kazuo Hara, Nobumasa Mizuno, Shin Haba, Takamichi Kuwahara, Yasuhiro Kuraishi, Takafumi Yanaidani
Clin Endosc 2024;57(1):122-127.   Published online May 16, 2023
DOI: https://doi.org/10.5946/ce.2022.149
AbstractAbstract PDFPubReaderePub
Benign biliary stricture (BBS) is a complication of chronic pancreatitis (CP). Despite endoscopic biliary stenting, some patients do not respond to treatment, and they experience recurrent cholangitis. We report two cases of CP with refractory BBS treated using endoscopic ultrasound-guided choledochoduodenostomy (EUS-CDS) fistula creation. A 50-year-old woman and a 60-year-old man both presented with obstructive jaundice secondary to BBS due to alcoholic CP. They underwent repeated placement of a fully covered self-expandable metal stent for biliary strictures. However, the strictures persisted, causing repeated episodes of cholangitis. Therefore, an EUS-CDS was performed. The stents were eventually removed and the patients became stent-free. These fistulas have remained patent without cholangitis for more than 2.5 years. Fistula creation using EUS-CDS is an effective treatment option for BBS.

Citations

Citations to this article as recorded by  
  • Forward viewing liner echoendoscopy for therapeutic interventions
    Kazuo Hara, Nozomi Okuno, Shin Haba, Takamichi Kuwahara
    Clinical Endoscopy.2024; 57(2): 175.     CrossRef
  • 2,040 View
  • 153 Download
  • 1 Web of Science
  • 1 Crossref
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Focused Review Series: Endoscopic Management for Biliary Stricture after Liver Transplantation
Magnetic Compression Anastomosis for the Treatment of Post-Transplant Biliary Stricture
Sung Ill Jang, Jae Hee Cho, Dong Ki Lee
Clin Endosc 2020;53(3):266-275.   Published online May 29, 2020
DOI: https://doi.org/10.5946/ce.2020.095
AbstractAbstract PDFPubReaderePub
A number of different conditions can lead to a bile duct stricture. These strictures are particularly common after biliary operations, including living-donor liver transplantation. Endoscopic and percutaneous methods have high success rates in treating benign biliary strictures. However, these conventional methods are difficult to manage when a guidewire cannot be passed through areas of severe stenosis or complete obstruction. Magnetic compression anastomosis has emerged as an alternative nonsurgical treatment method to avoid the mortality and morbidity risks of reoperation. The feasibility and safety of magnetic compression anastomosis have been reported in several experimental and clinical studies in patients with biliobiliary and bilioenteric strictures. Magnetic compression anastomosis is a minimally traumatic and highly effective procedure, and represents a new paradigm for benign biliary strictures that are difficult to treat with conventional methods.

Citations

Citations to this article as recorded by  
  • Y–Z deformable magnetic ring for the treatment of rectal stricture: A case report and review of literature
    Miao-Miao Zhang, Huan-Chen Sha, Yuan-Fa Qin, Yi Lyu, Xiao-Peng Yan
    World Journal of Gastroenterology.2024; 30(6): 599.     CrossRef
  • A Short Fully Covered Self-Expandable Metal Stent for Management of Benign Biliary Stricture Not Caused by Living-Donor Liver Transplantation
    See-Young Lee, Sung-Ill Jang, Moon-Jae Chung, Jae-Hee Cho, Min-Young Do, Hye-Sun Lee, Juyeon Yang, Dong-Ki Lee
    Journal of Clinical Medicine.2024; 13(5): 1186.     CrossRef
  • Magnetic compression anastomosis for the treatment of complete biliary obstruction after cholecystectomy
    Sung Ill Jang, Min Young Do, See Young Lee, Jae Hee Cho, Seung-Moon Joo, Kwang-Hun Lee, Moon Jae Chung, Dong Ki Lee
    Gastrointestinal Endoscopy.2024;[Epub]     CrossRef
  • Research progress on anatomy reconstruction of rat orthotopic liver transplantation
    Weikang Wu, Juzheng Yuan, Fuyuan Liu, Lu Liu, Xudan Wang, Xiao Li, Kaishan Tao
    Transplantation Reviews.2024; 38(2): 100841.     CrossRef
  • Percutaneous Transhepatic Sphincterotome–Guided Management of Post–Living Donor Liver Transplant Biliary Anastomotic Stricture: An Innovative Approach
    Usman Iqbal Aujla, Imran Ali Syed, Ahmad Karim Malik, Muhammad Ramzan, Abdullah Saeed
    ACG Case Reports Journal.2024; 11(3): e01288.     CrossRef
  • Biliary Anastomotic Strictures after Liver Transplantation: Current Status and Advances
    鑫 林
    Advances in Clinical Medicine.2024; 14(03): 1477.     CrossRef
  • Endoscopic application of magnetic compression anastomosis: a review
    Guo Zhang, Zheng Liang, Guiping Zhao, Shutian Zhang
    Journal of Gastroenterology and Hepatology.2024; 39(7): 1256.     CrossRef
  • Magnetic compression anastomosis of post-cholecystectomy benign biliary stricture using modified accessories (with video)
    Radhika Chavan, Rushil Solanki, Maitrey Patel, Chaiti Gandhi, Milind Prajapati, Sanjay Rajput
    Indian Journal of Gastroenterology.2024;[Epub]     CrossRef
  • Effect of tissue tension on magnetic compression anastomosis of digestive tract
    Miaomiao Zhang, Jia Ma, Aihua Shi, Ruimin Gong, Xuhe Zhao, Qiuye Zhong, Linxin Shen, Yi Lyu, Xiaopeng Yan
    Scientific Reports.2024;[Epub]     CrossRef
  • Novel magnetic compression technique for the treatment of postoperative anastomotic stenosis in rectal cancer: A case report
    Miao-Miao Zhang, Huan-Chen Sha, Hai-Rong Xue, Yuan-Fa Qin, Xiao-Gang Song, Yun Li, Yu Li, Zheng-Wu Deng, Yu-Lin Gao, Fang-Fang Dong, Yi Lyu, Xiao-Peng Yan
    World Journal of Gastrointestinal Surgery.2024; 16(6): 1926.     CrossRef
  • Magnetic compression anastomosis to restore biliary tract continuity after obstruction following major abdominal trauma: A case report
    Miao-Miao Zhang, Jie Tao, Huan-Chen Sha, Yun Li, Xiao-Gang Song, Oliver J Muensterer, Fang-Fang Dong, Li Zhang, Yi Lyu, Xiao-Peng Yan
    World Journal of Gastrointestinal Surgery.2024; 16(6): 1933.     CrossRef
  • Endoscopic approach for biliopancreatic disease after pancreaticoduodenectomy: a 10-year single-center experience
    Mario Capasso, Lorenzo Dioscoridi, Edoardo Forti, Francesco Pugliese, Marcello Cintolo, Giulia Bonato, Marianna Bravo, Andrea Palermo, Federica Fimiano, Massimiliano Mutignani
    Surgical Endoscopy.2024; 38(9): 5187.     CrossRef
  • Clinical effect of magnetic compression anastomosis on ureterostenosis after kidney transplantation
    Jiangwei Zhang, Wujun Xue, Puxun Tian, Hang Yan, Jin Zheng, Xiao Li, Ying Wang, Xiaoming Ding, Yi Lyu
    Chinese Medical Journal.2023;[Epub]     CrossRef
  • The Evolving Use of Magnets in Surgery: Biomedical Considerations and a Review of Their Current Applications
    William G. Lee, Lauren L. Evans, Sidney M. Johnson, Russell K. Woo
    Bioengineering.2023; 10(4): 442.     CrossRef
  • Post-transplant biliyer darlığın tedavisinde manyetik kompresyon yöntemi: Olgu sunumu
    Azar ABİYEV, Harun KÜÇÜK, Seçkin ÖZGÜL, Serkan DUMANLI, Gülden BİLİCAN, Mehmet Koray AKKAN, Murat KEKİLLİ
    Akademik Gastroenteroloji Dergisi.2023; 22(3): 160.     CrossRef
  • Magnetic Compression Anastomosis Is a Good Treatment Option for Patients with Completely Obstructed Benign Biliary Strictures: A Case Series Study
    Bülent Ödemiş, Batuhan Başpınar, Muharrem Tola, Serkan Torun
    Digestive Diseases and Sciences.2022; 67(10): 4906.     CrossRef
  • Biliary Complications after Living Donor Liver Transplantation Differ from Those after Deceased Donor Liver Transplantation
    Sung Ill Jang, Dong Ki Lee
    Gut and Liver.2022; 16(2): 145.     CrossRef
  • Role of ERCP in Benign Biliary Strictures
    Tommaso Schepis, Ivo Boškoski, Andrea Tringali, Guido Costamagna
    Gastrointestinal Endoscopy Clinics of North America.2022; 32(3): 455.     CrossRef
  • Validity of MDCT cholangiography in differentiating benign and malignant biliary obstruction
    Ahmed M. Alsowey, Ahmed F. Salem, Mohamed I. Amin
    Egyptian Journal of Radiology and Nuclear Medicine.2021;[Epub]     CrossRef
  • Cholangioscopy and double-balloon enteroscopy mediated “sandwich puncture” of a completely closed choledochojejunostomy
    Toshio Fujisawa, Hiroyuki Isayama, Tomoyoshi Shibuya, Ko Tomishima, Shigeto Ishii
    VideoGIE.2021; 6(7): 325.     CrossRef
  • Magnetic compression anastomosis via EUS-guided hepaticogastrostomy for recanalization of complete common hepatic bile duct transection
    Yingluk Sritunyarat, Thawee Ratanachu-Ek, Siriboon Attasaranya, Wiriyaporn Ridtitid, Rungsun Rerknimitr
    VideoGIE.2021; 6(8): 365.     CrossRef
  • Magnetic compression anastomosis for treatment of post-transplant biliary stricture: A case report with dual-graft living donor liver transplantation
    Dong-Hwan Jung, Do Hyun Park, Gi-Won Song, Chul-Soo Ahn, Deok-Bog Moon, Shin Hwang
    Annals of Liver Transplantation.2021; 1(2): 174.     CrossRef
  • 11,007 View
  • 184 Download
  • 14 Web of Science
  • 22 Crossref
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Case Report
Fracture of Self-Expandable Metal Stent during Endoscopic Removal in Benign Biliary Stricture
Kyu Re Joo, Chang Nyol Paik, Woo Chul Chung, Kang-Moon Lee, Jin Mo Yang
Clin Endosc 2013;46(1):95-97.   Published online January 31, 2013
DOI: https://doi.org/10.5946/ce.2013.46.1.95
AbstractAbstract PDFPubReaderePub

The endoscopic insertion of the self-expandable metal stent (SEMS) in benign biliary stricture has become an alternative to surgery. Fracture or migration of SEMS can occur rarely as complications. We report a case of fracture of SEMS during endoscopic retrieval in patients with chronic pancreatitis. In this case, broken stent was successfully removed with endoscopic ballooning of bile duct and with a snare device.

Citations

Citations to this article as recorded by  
  • Plastic biliary stent fracture: A rare complication of percutaneous biliary drain placement
    Kurren A. Mehta, Paul S. Jowell, Joshua P. Spaete
    American Journal of Interventional Radiology.2022; 6: 5.     CrossRef
  • Successful endoscopic removal of a fully covered self-expandable metallic stent that fractured above a benign distal bile duct stricture
    Masatoshi Murakami, Nao Fujimori, Yuta Suehiro, Tomonobu Hioki, Kazuhide Matsumoto, Takamasa Oono, Yoshihiro Ogawa
    Endoscopy.2021; 53(01): E11.     CrossRef
  • Fracture of a Colonic Self-expandable Metallic Stent in Malignant Colonic Obstruction
    Akinari Takao, Taku Tabata, Koichi Koizumi, Go Kuwata, Satomi Shibata, Makiko Mori, Kazuro Chiba, Sawako Kuruma, Tomoko Onishi, Takashi Fujiwara, Terumi Kamisawa, Junko Fujiwara, Takeo Arakawa, Kumiko Momma, Tatsu Shimoyama, Keiichi Takahashi
    Internal Medicine.2018; 57(3): 329.     CrossRef
  • 5,770 View
  • 73 Download
  • 3 Web of Science
  • 3 Crossref
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A Case of Benign Biliary Stricture as a Complication of Photodynamic Therapy for Biliary Papillomatosis
Mun Ki Choi, M.D., Dong Uk Kim, M.D., Gwang Ha Kim, M.D., Geun Am Song, M.D., Hyung Seok Nam, M.D., Yang Seon Yi, M.D., Kang Hee Ahn, M.D. and Jung Seop Eom, M.D.
Korean J Gastrointest Endosc 2011;42(5):327-333.   Published online May 28, 2011
AbstractAbstract PDF
Biliary papillomatosis is a rare disease with a high risk of recurrence and malignant transformation. Therapeutic options include partial hepatectomy, Whipple's procedure and liver transplantation. If there is no surgical option left due to several reasons, local palliative procedures such as biliary stenting and drainage for the treatment of cholestasis are considered, but tumor growth cannot be influenced. Photodynamic therapy might be a new additional, palliative option for patients with biliary papillomatosis who are not eligible for surgery. Benign biliary stricture is a rare complication of photodynamic therapy. We report here a case of a 63-year-old male who developed benign biliary stricture after photodynamic therapy using the photosensitizer photofrin. (Korean J Gastrointest Endosc 2011;42:327-333)
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  • 4 Download
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The Efficacy and Safety of Fully Covered Self-expandable Metal Stents in Benign Extrahepatic Biliary Strictures
Byeong Uk Kim, M.D., Ja Chung Goo, M.D., Young Shim Cho, M.D., Jung Ho Han, M.D., Soon Man Yoon, M.D., Hee Bok Chae, M.D., Seon Mee Park, M.D. and Sei Jin Youn, M.D.
Korean J Gastrointest Endosc 2011;42(1):11-19.   Published online January 30, 2011
AbstractAbstract PDF
Background/Aims: For the endoscopic treatment of benign biliary strictures (BBS), it has been a drawback to use plastic stents or uncovered self-expandable metal stents. We investigated the efficacy and safety of temporary placing fully covered self-expandable metal stents (FCSEMS) in BBS.

Methods: We enrolled 12 cases that followed up more than 6 months after insertion of a FCSEMS in BBS via ERCP. The cohort consisted of 9 patients with recurrent cholangitis, 2 patients with postcholecystectomy and 1 patient with chronic pancreatitis. The efficacy was assessed according to the resolution of strictures and also the restricture after stent removal, and the safety was evaluated according to the complications associated with stent placement. Finally, the removability of FCSEMSs was assessed.

Results: The median time of FCSEMS placement was 6.0 months. Resolution of the BBS was confirmed in 8 cases (67%) after a median post-removal follow-up of 8.5 months. Restricture after stent removal happened in 4 cases (33%). The complications were severe abdominal pain (n=2), pancreatic abscess (n=1) and stent migration (n=6). In 7 cases, all the FCSEMSs were successfully removed by grasping them with forceps.

Conclusions: Temporary placement of a FCSEMS in BBS showed good therapeutic effects, relative safety and easy removability. Further evaluation is needed for determining the causes of restricture and for developing a new stent with antimigration features. (Korean J Gastrointest Endosc 2011;42:11-19)

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Analysis of Factors Influencing the Long Term Outcome after Endoscopic Stenting for Benign Biliary Stricture
Seok Young Lee, M.D., Hyung Suk Lee, M.D., Won Jae Yoon, M.D., Jun Kyu Lee, M.D., Kwang Hyuck Lee, M.D., Jin-Hyeok Hwang, M.D.*, Ji Bong Jeong, M.D., Ji Kon Ryu, M.D., Yong-Tae Kim, M.D. and Yong Bum Yoon, M.D.
Korean J Gastrointest Endosc 2006;32(1):21-26.   Published online January 30, 2006
AbstractAbstract PDF
Background
/Aims: The problem with endoscopic management for benign biliary stricture is the occurrence of restenosis after removal of biliary stents. However the factors that influence the rate of restenosis have not yet been identified. The aim of this study was to identify the factors that affect patency of the bile duct after removal of an endoscopic stent for management of benign biliary stricture. Methods: The medical records and potential factors that influence biliary restenosis were analyzed in 19 patients with benign biliary stricture. Results: At the time of stent removal, successful stricture resolution was noted in 13 out of 19 patients. Among these 13 patients, good biliary patency, without restenosis, was observed in 10 patients during a mean follow-up of 24 months. The time interval, from biliary surgery to stricture, tended to be shorter in the group with good results compared to the group with poor results (6.2±3.3 months vs. 80.2±139.3 months respectively: p=0.07). Other factors did not affect the rate of restenosis after removal of the stent. Conclusions: The time interval, from biliary surgery to stricture, tends to influence restenosis after endoscopic management for benign biliary stricture. (Korean J Gastrointest Endosc 2006;32:21⁣26)
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  • 10 Download
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