Abstract
We report on a case of postoperative pancreatic head cancer presenting with obstructive jaundice due to stricture of the afferent loop of the Roux-en-Y rebuilding from peritoneum metastasis. A metallic stent was implanted to counteract the obstructive jaundice with a double-balloon endoscope (DBE) placed at malignant stricture of the afferent loop, bringing improvement of the symptoms such as icterus, fever and stomachache. An over-tube was first inserted until just before the stricture of the afferent loop with DBE and then the guidewire was placed ahead of the stricture using DBE. Leaving the over-tube and the guidewire, in place, the DBE was removed. An uncovered nickel titanium sulphate (NiTiS) metallic stent, 10 cm×20 mm (Taewoong Medical Co, Ltd, Korea) was implanted safely at the stricture of the afferent loop along the guidewire. Although this case was comparatively unusual as the cause of the obstructive jaundice was related to pancreatic cancer our results suggest, that it is possible to implant a metallic stent into the malignant stricture of afferent loop of a Roux-en-Y reconstruction with DBE.
