Abstract
A 61-year-old man referred for a diagnosis of obstructive jaundice on February 3, 2001, was found in further examination to have unresectable hilar cholangiocarcinoma invading the portal vein and hepatic artery. We inserted an expandable metallic stent into the portal vein on April 4 for portal stenosis caused by invasion and into the common bile duct through the right anterior brunch for biliary stenosis on May 2. After follow-up for 24 months without any remarkable change, the man developed nausea and vomiting. Endoscopy showed stric-ture of the prepyrolic region due to extramural compression. Insertion of a third stent into the gastrointestinal stricture effectively enabled the man to eat orally. Unfortunately, be died of peritonitis carcinomas after being followed up as an out-patient with good QOL for 26 months after the first stenting.
