Abstract
A-71-year-old man was admitted to our hospital because of abdominal pain and abdominal fullness due to duodenal stenosis. 6 months ago, he visited our hospital because of obstructive jaundice due to pancreas head carcinoma, and biliary stent was inserted following percutaneous transhepatic biliary drainage. On this admission, endoscopic and X-ray study showed severe stenosis at the 2nd portion of duodenum. An expandable metallic stent (EMS) was not enough long for passage through the narrowing space of duidenum. We make a new delivery system use of teflon tube. After cutting handlebar, teflon tube connected with outer tube of EMS. And the new delivery system was 150 cm length and detained at the senotic lesion. 5 days after treatment with EMS, he was able to take a diet for about 3 months. We think that EMS therapy for duodenal stenosis is useful to the improvement of quality of life.
