Internal medicine (Tokyo, Japan) · 2020
Development of Severe Acute Pancreatitis Following Uncovered Metallic Stent Placement: A Rare Case Report.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Takaoka Makoto, Shimatani Masaaki, Takayama Takuya, Miyoshi Hideaki, Mitsuyama Toshiyuki, Masuda Masataka, Ito Takashi, Nakamaru Koh, Miyamoto Sachi, Tokuhara Mitsuo, Ikeura Tsukasa, Okazaki Kazuichi, Naganuma Makoto
Аннотация
Self-expandable metallic stents (SEMSs) are widely used for malignant biliary stricture (MBS). Acute pancreatitis is an early complication following SEMS placement. In the present case, the patient developed severe acute pancreatitis after SEMS placement for MBS because of metastatic lymph nodes. Endoscopic retrograde cholangiopancreatography, endoscopic sphincterotomy and an endoscopic nasobiliary drainage tube placement were performed. After seven days, an uncovered SEMS was placed; however, severe acute pancreatitis occurred, and the SEMS was drawn out emergently. In SEMS placement for patients with MBS caused by non-pancreatic cancer, SEMS should be selected carefully while considering each patient's case.