A case of chronic pancreatitis with diffuse irregular narrowing of the pancreatic duct with bile duct stenosis underwent microtase coaguration therapy via PTCS (percutaneous transhepatic cholangioscopy)

Abstract

A 69-year-old female was followed up to our second department of medicine by cronic pancreatitis with diffuse irregular narrowing of the pancreatic duct without autoimmune complex since May, 1997. August, 1998, obstructive jaundice caused by stenosis of the lower portion of the bile duct, and treated by ERBD (endoscopic retrograde biliary drainage) and corticosteroid. She occured cholangitis over again after treatment. So she admitted to our department surgery. An abdominal CT showed pancreas swelling, andrecongnized diffuse irregular narrowing of the main pancreatic duct and stenosis of the lower portion of the bile duct by ERCP (endoscopic retrograd cholangio-pancreatography) . We established PTBD (percutaneous transhepatic biliary drainage) , and underwent microtase coaguration therapy via PTCS (pecutaneous transhepatic cholangioscopy) route using coaxal cables having such diameters and probes as 1.8 mm ϕ bullet shaped to the portion bile duct stenosis. Stenosis of the lower portion of the bile duct was improved. After treatment and she had been followed by out patient.