One-Stage Percutaneous Self-Expandable Metal Stent Placement for Malignant Biliary Obstruction: A Five-Case Series.
Hideki Izumi, Junichi Kaneko, Toshihito Ogasawara et al.
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Case in brief
This report details five patients with malignant biliary obstruction who underwent one-stage percutaneous self-expandable metal stent (SEMS) placement due to failed ERCP. The patients, with various underlying malignancies, experienced moderate to mild cholangitis. Technical success was achieved in all cases without any procedure-related complications, demonstrating the procedure's effectiveness in providing biliary decompression.
Diagnostic / clinical pearl
One-stage percutaneous SEMS placement is a viable alternative for patients with malignant biliary obstruction when ERCP is not feasible, allowing for effective biliary decompression.
Why it matters
This approach may enhance patient quality of life by avoiding complications associated with external drainage methods.