抄録
A 68-year-old female consulted our hospital by complaining of nausea and appetite loss, and was admitted with a diagnosis of duodenal obstruction on August 27, 2001. Duodenography showed severe stenosis of the second portion of duodenum due to invasion of bile duct carcinoma. Expandable metallic stent (EMS) was inserted for the duodenal stenosis using a sliding tube for jejunoscopy. After the treatment, abdominal symptom was relieved and no complications were developed.
EMS replacement for the duodenal stenosis is generally difficult, because the delivary system cannot easily pass through stenosis due to bending in the stomach. This procedure using a sliding tube for jejunoscopy is thought to be one of the useful methods for EMS replacement. EMS replacement could maintain patient's quality of life compared with other methods and could be palliative treatment for inoperable malignant duodenal stenosis.
