Combined Biliary and Duodenal Stenting for Palliation of Pancreatic Cancer

S. Profili, C. F. Feo, G. B. Meloni, G. Strusi, M. L. Cossu, G. C. Canalis

Research output: Contribution to journalArticlepeer-review

Abstract

The aim of this case report was to evaluate the usefulness of combined biliary and duodenal stenting in the palliation of pancreatic cancer. We report a series of 4 consecutive patients (2 men and 2 women, mean age 58.5 years, range 38-77 years) who underwent combined biliary and duodenal stenting in our department between March 2000 and April 2001. All patients had cancer of the head of the pancreas causing stricture of the common bile duct and second portion of the duodenum. Biliary and duodenal stents were successfully positioned, with relief of symptoms in all cases. No early complications were observed, except for a transient increase in serum lipase and amylase in one case. Mean follow-up was 7.5 months (range 5-14 months). One patient presenting recurrence of vomiting after 4 months because of tumour overgrowth at the distal edge of the prosthesis was successfully treated by insertion of a partially overlapping second coaxial stent. Combined biliary and duodenal stenting for the palliation of pancreatic cancer was performed safely and successfully. Stents allowed effective re-canalization of the biliary tract and duodenum, relieving both jaundice and vomiting. This procedure should be considered as an alternative to palliative surgery, especially in critically ill patients.

Original languageEnglish
Pages (from-to)1099-1102
Number of pages4
JournalScandinavian Journal of Gastroenterology
Volume38
Issue number10
DOIs
Publication statusPublished - Oct 2003

Keywords

  • Bile duct
  • Duodenum
  • Interventional procedures
  • Prostheses
  • Stents

ASJC Scopus subject areas

  • Gastroenterology

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