Endoscopic-ultrasonography-guided biliary drainage for repetitive acute cholangitis of the accessory hepatic duct obstructed by clipping during laparoscopic cholecystectomy
An 88-year-old man who had been suffering from repetitive fever and abdominal pain every few months for several years was diagnosed with localized acute cholangitis and referred to our center. Various examinations, including computed tomography (CT) and endoscopic ultrasonography (EUS), revealed tha...
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| Veröffentlicht in: | Nippon Shokakibyo Gakkai Zasshi 2017/04/05, Vol.114(4), pp.683-690 |
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| container_title | Nippon Shokakibyo Gakkai Zasshi |
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| creator | KOZAKAI, Fumisato KANNO, Yoshihide ITO, Kei KOSHITA, Shinsuke OGAWA, Takahisa KUSUNOSE, Hiroaki MASU, Kaori SAKAI, Toshitaka MASAKI, Yoshiharu MURABAYASHI, Toji HASEGAWA, Sho NODA, Yutaka |
| description | An 88-year-old man who had been suffering from repetitive fever and abdominal pain every few months for several years was diagnosed with localized acute cholangitis and referred to our center. Various examinations, including computed tomography (CT) and endoscopic ultrasonography (EUS), revealed that the accessary hepatic duct was obstructed by clips used during laparoscopic cholecystectomy performed 7 years previously. It was not possible to approach the completely isolated duct via the transpapillary route. After obtaining fully informed consent, EUS-guided drainage of the occluded duct through the duodenal wall was performed with a self-expanding metal stent. No adverse events related to the procedure were observed, and his symptoms disappeared by the next day. EUS-guided drainage represents a therapeutic option in patients with an accessory hepatic duct, which is iatrogenically isolated by surgical clips. |
| doi_str_mv | 10.11405/nisshoshi.114.683 |
| format | Article |
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Various examinations, including computed tomography (CT) and endoscopic ultrasonography (EUS), revealed that the accessary hepatic duct was obstructed by clips used during laparoscopic cholecystectomy performed 7 years previously. It was not possible to approach the completely isolated duct via the transpapillary route. After obtaining fully informed consent, EUS-guided drainage of the occluded duct through the duodenal wall was performed with a self-expanding metal stent. No adverse events related to the procedure were observed, and his symptoms disappeared by the next day. EUS-guided drainage represents a therapeutic option in patients with an accessory hepatic duct, which is iatrogenically isolated by surgical clips.</description><identifier>ISSN: 0446-6586</identifier><identifier>EISSN: 1349-7693</identifier><identifier>DOI: 10.11405/nisshoshi.114.683</identifier><identifier>PMID: 28381783</identifier><language>jpn</language><publisher>Japan: The Japanese Society of Gastroenterology</publisher><subject>Acute Disease ; Aged, 80 and over ; Cholangitis - diagnostic imaging ; Cholangitis - etiology ; Cholecystectomy ; Cholestasis - complications ; Cholestasis - diagnostic imaging ; Cholestasis - therapy ; Drainage ; Endosonography ; Humans ; Laparoscopy ; Male</subject><ispartof>Nippon Shokakibyo Gakkai Zasshi, 2017/04/05, Vol.114(4), pp.683-690</ispartof><rights>2017 by The Japanese Society of Gastroenterology</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,4021,27921,27922,27923</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28381783$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>KOZAKAI, Fumisato</creatorcontrib><creatorcontrib>KANNO, Yoshihide</creatorcontrib><creatorcontrib>ITO, Kei</creatorcontrib><creatorcontrib>KOSHITA, Shinsuke</creatorcontrib><creatorcontrib>OGAWA, Takahisa</creatorcontrib><creatorcontrib>KUSUNOSE, Hiroaki</creatorcontrib><creatorcontrib>MASU, Kaori</creatorcontrib><creatorcontrib>SAKAI, Toshitaka</creatorcontrib><creatorcontrib>MASAKI, Yoshiharu</creatorcontrib><creatorcontrib>MURABAYASHI, Toji</creatorcontrib><creatorcontrib>HASEGAWA, Sho</creatorcontrib><creatorcontrib>NODA, Yutaka</creatorcontrib><title>Endoscopic-ultrasonography-guided biliary drainage for repetitive acute cholangitis of the accessory hepatic duct obstructed by clipping during laparoscopic cholecystectomy</title><title>Nippon Shokakibyo Gakkai Zasshi</title><addtitle>Nippon Shokakibyo Gakkai Zasshi</addtitle><description>An 88-year-old man who had been suffering from repetitive fever and abdominal pain every few months for several years was diagnosed with localized acute cholangitis and referred to our center. Various examinations, including computed tomography (CT) and endoscopic ultrasonography (EUS), revealed that the accessary hepatic duct was obstructed by clips used during laparoscopic cholecystectomy performed 7 years previously. It was not possible to approach the completely isolated duct via the transpapillary route. After obtaining fully informed consent, EUS-guided drainage of the occluded duct through the duodenal wall was performed with a self-expanding metal stent. No adverse events related to the procedure were observed, and his symptoms disappeared by the next day. EUS-guided drainage represents a therapeutic option in patients with an accessory hepatic duct, which is iatrogenically isolated by surgical clips.</description><subject>Acute Disease</subject><subject>Aged, 80 and over</subject><subject>Cholangitis - diagnostic imaging</subject><subject>Cholangitis - etiology</subject><subject>Cholecystectomy</subject><subject>Cholestasis - complications</subject><subject>Cholestasis - diagnostic imaging</subject><subject>Cholestasis - therapy</subject><subject>Drainage</subject><subject>Endosonography</subject><subject>Humans</subject><subject>Laparoscopy</subject><subject>Male</subject><issn>0446-6586</issn><issn>1349-7693</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kcFu3CAURVGVKhml-YEsKpbdOAWDMSyjaNJWitRNsrYwPNtEHkMAV_I_9SPLJNPZ8IB7uMB9CN1SckcpJ833xaU0-TS54_pOSPYJ7SjjqmqFYhdoRzgXlWikuEI3KbmeEKIaJRm7RFe1ZJK2ku3Q3_1ifTI-OFOtc446-cWPUYdpq8bVWbC4d7PTccM2arfoEfDgI44QILvs_gDWZs2AzeRnvYxlK2E_4DwdBQMp-XJ0gqCzM9iuJmPfpxzL5Gi9YTO7ENwyFi0ey6yDjqcXvZuC2VIGk_1h-4I-D3pOcHOq1-jlcf_88LN6-v3j18P9U_VKpcxVw0ndCEo07RWHQTW1qqHlQqpeCQO1VJZAPVhFWMvqplVMD5bxRgspOVWCXaNvH74h-rcVUu4OLhmYywfBr6krt3CpSIEL-vWErv0BbBeiO5Swuv8JF2D_AbymXMI7AzqWQGbozm3sShs7_j6WZp51M-nYwcL-AXnvnu4</recordid><startdate>2017</startdate><enddate>2017</enddate><creator>KOZAKAI, Fumisato</creator><creator>KANNO, Yoshihide</creator><creator>ITO, Kei</creator><creator>KOSHITA, Shinsuke</creator><creator>OGAWA, Takahisa</creator><creator>KUSUNOSE, Hiroaki</creator><creator>MASU, Kaori</creator><creator>SAKAI, Toshitaka</creator><creator>MASAKI, Yoshiharu</creator><creator>MURABAYASHI, Toji</creator><creator>HASEGAWA, Sho</creator><creator>NODA, Yutaka</creator><general>The Japanese Society of Gastroenterology</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>2017</creationdate><title>Endoscopic-ultrasonography-guided biliary drainage for repetitive acute cholangitis of the accessory hepatic duct obstructed by clipping during laparoscopic cholecystectomy</title><author>KOZAKAI, Fumisato ; KANNO, Yoshihide ; ITO, Kei ; KOSHITA, Shinsuke ; OGAWA, Takahisa ; KUSUNOSE, Hiroaki ; MASU, Kaori ; SAKAI, Toshitaka ; MASAKI, Yoshiharu ; MURABAYASHI, Toji ; HASEGAWA, Sho ; NODA, Yutaka</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-j188t-54025610a1b94ef95292e74689b96ce289d0e2fd9037325793afd345a68841963</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>jpn</language><creationdate>2017</creationdate><topic>Acute Disease</topic><topic>Aged, 80 and over</topic><topic>Cholangitis - diagnostic imaging</topic><topic>Cholangitis - etiology</topic><topic>Cholecystectomy</topic><topic>Cholestasis - complications</topic><topic>Cholestasis - diagnostic imaging</topic><topic>Cholestasis - therapy</topic><topic>Drainage</topic><topic>Endosonography</topic><topic>Humans</topic><topic>Laparoscopy</topic><topic>Male</topic><toplevel>online_resources</toplevel><creatorcontrib>KOZAKAI, Fumisato</creatorcontrib><creatorcontrib>KANNO, Yoshihide</creatorcontrib><creatorcontrib>ITO, Kei</creatorcontrib><creatorcontrib>KOSHITA, Shinsuke</creatorcontrib><creatorcontrib>OGAWA, Takahisa</creatorcontrib><creatorcontrib>KUSUNOSE, Hiroaki</creatorcontrib><creatorcontrib>MASU, Kaori</creatorcontrib><creatorcontrib>SAKAI, Toshitaka</creatorcontrib><creatorcontrib>MASAKI, Yoshiharu</creatorcontrib><creatorcontrib>MURABAYASHI, Toji</creatorcontrib><creatorcontrib>HASEGAWA, Sho</creatorcontrib><creatorcontrib>NODA, Yutaka</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Nippon Shokakibyo Gakkai Zasshi</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>KOZAKAI, Fumisato</au><au>KANNO, Yoshihide</au><au>ITO, Kei</au><au>KOSHITA, Shinsuke</au><au>OGAWA, Takahisa</au><au>KUSUNOSE, Hiroaki</au><au>MASU, Kaori</au><au>SAKAI, Toshitaka</au><au>MASAKI, Yoshiharu</au><au>MURABAYASHI, Toji</au><au>HASEGAWA, Sho</au><au>NODA, Yutaka</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Endoscopic-ultrasonography-guided biliary drainage for repetitive acute cholangitis of the accessory hepatic duct obstructed by clipping during laparoscopic cholecystectomy</atitle><jtitle>Nippon Shokakibyo Gakkai Zasshi</jtitle><addtitle>Nippon Shokakibyo Gakkai Zasshi</addtitle><date>2017</date><risdate>2017</risdate><volume>114</volume><issue>4</issue><spage>683</spage><epage>690</epage><pages>683-690</pages><issn>0446-6586</issn><eissn>1349-7693</eissn><abstract>An 88-year-old man who had been suffering from repetitive fever and abdominal pain every few months for several years was diagnosed with localized acute cholangitis and referred to our center. Various examinations, including computed tomography (CT) and endoscopic ultrasonography (EUS), revealed that the accessary hepatic duct was obstructed by clips used during laparoscopic cholecystectomy performed 7 years previously. It was not possible to approach the completely isolated duct via the transpapillary route. After obtaining fully informed consent, EUS-guided drainage of the occluded duct through the duodenal wall was performed with a self-expanding metal stent. No adverse events related to the procedure were observed, and his symptoms disappeared by the next day. EUS-guided drainage represents a therapeutic option in patients with an accessory hepatic duct, which is iatrogenically isolated by surgical clips.</abstract><cop>Japan</cop><pub>The Japanese Society of Gastroenterology</pub><pmid>28381783</pmid><doi>10.11405/nisshoshi.114.683</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; EZB-FREE-00999 freely available EZB journals |
| subjects | Acute Disease Aged, 80 and over Cholangitis - diagnostic imaging Cholangitis - etiology Cholecystectomy Cholestasis - complications Cholestasis - diagnostic imaging Cholestasis - therapy Drainage Endosonography Humans Laparoscopy Male |
| title | Endoscopic-ultrasonography-guided biliary drainage for repetitive acute cholangitis of the accessory hepatic duct obstructed by clipping during laparoscopic cholecystectomy |
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