DOI QR코드

DOI QR Code

Management of Malignant Biliary Obstruction Combined with Duodenal Obstruction

십이지장 폐색이 동반된 악성 담도 폐색의 치료

  • Ki-Hyun Kim (Division of Gastroenterology, Department of Internal Medicine, Chonnam National University Hwasun Hospital, Chonnam National University Medical School)
  • 김기현 (전남대학교 의과대학 화순전남대학교병원 소화기내과)
  • Received : 2023.07.31
  • Accepted : 2023.08.07
  • Published : 2023.08.20

Abstract

Malignant tumors located near the papilla of the duodenum can cause concomitant biliary and duodenal obstruction, which reduces the quality of life and increases the morbidity and mortality. Apart from traditional surgical treatment methods, various treatment methods such as endoscopic treatment and radiological interventions are used for the treatment. This study aimed to explore treatment methods according to the situation of patients with malignant biliary obstruction combined with duodenal obstruction.

Keywords

References

  1. Laquente B, Calsina-Berna A, Carmona-Bayonas A, Jimenez-Fonseca P, Peiro I, Carrato A. Supportive care in pancreatic ductal adenocarcinoma. Clin Transl Oncol 2017;19:1293-1302. https://doi.org/10.1007/s12094-017-1682-6
  2. Manuel-Vazquez A, Latorre-Fragua R, Ramiro-Perez C, Lopez-Marcano A, la Plaza-Llamas R, Ramia JM. Laparoscopic gastrojejunostomy for gastric outlet obstruction in patients with unresectable hepatopancreatobiliary cancers: a personal series and systematic review of the literature. World J Gastroenterol 2018;24:1978-1988. https://doi.org/10.3748/wjg.v24.i18.1978
  3. Shah A, Fehmi A, Savides TJ. Increased rates of duodenal obstruction in pancreatic cancer patients receiving modern medical management. Dig Dis Sci 2014;59:2294-2298. https://doi.org/10.1007/s10620-014-3170-y
  4. Hori Y, Naitoh I, Hayashi K, et al. Covered duodenal self-expandable metal stents prolong biliary stent patency in double stenting: the largest series of bilioduodenal obstruction. J Gastroenterol Hepatol 2018;33:696-703. https://doi.org/10.1111/jgh.13977
  5. Bartlett EK, Wachtel H, Fraker DL, et al. Surgical palliation for pancreatic malignancy: practice patterns and predictors of morbidity and mortality. J Gastrointest Surg 2014;18:1292-1298. https://doi.org/10.1007/s11605-014-2502-8
  6. Nakai Y, Hamada T, Isayama H, Itoi T, Koike K. Endoscopic management of combined malignant biliary and gastric outlet obstruction. Dig Endosc 2017;29:16-25. https://doi.org/10.1111/den.12729
  7. Dumonceau JM, Tringali A, Blero D, et al. Biliary stenting: indications, choice of stents and results: European Society of Gastrointestinal Endoscopy (ESGE) clinical guideline. Endoscopy 2012;44:277-298. https://doi.org/10.1055/s-0031-1291633
  8. Ardengh JC, Lopes CV, Kemp R, Dos Santos JS. Different options of endosonography-guided biliary drainage after endoscopic retrograde cholangio-pancreatography failure. World J Gastrointest Endosc 2018;10:99-108. https://doi.org/10.4253/wjge.v10.i5.99
  9. Maetani I, Ogawa S, Hoshi H, et al. Self-expanding metal stents for palliative treatment of malignant biliary and duodenal stenoses. Endoscopy 1994;26:701-704. https://doi.org/10.1055/s-2007-1009069
  10. Kim TH, Chon HK. Endoscopic ultrasound-guided drainage in pancreatobiliary diseases. Korean J Gastroenterol 2022;79:203-209. https://doi.org/10.4166/kjg.2022.064
  11. Hedjoudje A, Sportes A, Grabar S, et al. Outcomes of endoscopic ultrasound-guided biliary drainage: a systematic review and meta-analysis. United European Gastroenterol J 2019;7:60-68. https://doi.org/10.1177/2050640618808147
  12. Vila JJ, Perez-Miranda M, Vazquez-Sequeiros E, et al. Initial experience with EUS-guided cholangiopancreatography for biliary and pancreatic duct drainage: a Spanish national survey. Gastrointest Endosc 2012;76:1133-1141. https://doi.org/10.1016/j.gie.2012.08.001
  13. Tringali A, Costa D, Anderloni A, Carrara S, Repici A, Adler DG. Covered versus uncovered metal stents for malignant gastric outlet obstruction: a systematic review and meta-analysis. Gastrointest Endosc 2020;92:1153-1163.e9. https://doi.org/10.1016/j.gie.2020.06.033
  14. van den Berg MW, Haijtink S, Fockens P, et al. First data on the evolution duodenal stent for palliation of malignant gastric outlet obstruction (DUOLUTION study): a prospective multicenter study. Endoscopy 2013;45:174-181. https://doi.org/10.1055/s-0032-1326077
  15. van Hooft JE, van Montfoort ML, Jeurnink SM, et al. Safety and efficacy of a new non-foreshortening nitinol stent in malignant gastric outlet obstruction (DUONITI study): a prospective, multicenter study. Endoscopy 2011;43:671-675. https://doi.org/10.1055/s-0030-1256383
  16. Isayama H, Sasaki T, Nakai Y, et al. Management of malignant gastric outlet obstruction with a modified triple-layer covered metal stent. Gastrointest Endosc 2012;75:757-763. https://doi.org/10.1016/j.gie.2011.11.035
  17. Waidmann O, Trojan J, Friedrich-Rust M, et al. SEMS vs cSEMS in duodenal and small bowel obstruction: high risk of migration in the covered stent group. World J Gastroenterol 2013;19:6199-6206. https://doi.org/10.3748/wjg.v19.i37.6199
  18. Fabian A, Bor R, Gede N, et al. Double stenting for malignant biliary and duodenal obstruction: a systematic review and meta-analysis. Clin Transl Gastroenterol 2020;11:e00161. https://doi.org/10.14309/ctg.0000000000000161
  19. Bang JY, Navaneethan U, Hasan M, Hawes R, Varadarajulu S. Stent placement by EUS or ERCP for primary biliary decompression in pancreatic cancer: a randomized trial (with videos). Gastrointest Endosc 2018;88:9-17. https://doi.org/10.1016/j.gie.2018.03.012
  20. Park JK, Woo YS, Noh DH, et al. Efficacy of EUS-guided and ERCP-guided biliary drainage for malignant biliary obstruction: prospective randomized controlled study. Gastrointest Endosc 2018;88:277-282. https://doi.org/10.1016/j.gie.2018.03.015
  21. Kwon JH, Gwon DI, Kim JW, et al. Percutaneous biliary metallic stent insertion in patients with malignant duodenobiliary obstruction: outcomes and factors influencing biliary stent patency. Korean J Radiol 2020;21:695-706. https://doi.org/10.3348/kjr.2019.0753
  22. Boghossian MB, Funari MP, De Moura DTH, et al. EUS-guided gastroenterostomy versus duodenal stent placement and surgical gastrojejunostomy for the palliation of malignant gastric outlet obstruction: a systematic review and meta-analysis. Langenbecks Arch Surg 2021;406:1803-1817. https://doi.org/10.1007/s00423-021-02215-8