Saudi Journal of Gastroenterology
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Year : 2014  |  Volume : 20  |  Issue : 3  |  Page : 199-201

Unilateral multiple metallic stent-in-stent for a case of hilar biliary cancer: An alternative stenting strategy

Division of Endoscdopy, Shizuoka Cancer Center, Nagaizum i, Suntogun, Shizuoka, Japan

Correspondence Address:
Dr. Hiroyuki Matsubayashi
Chief of Pancreatobiliary Endoscopy, Division of Endoscopy, Shizuoka Cancer Center, 1007, Nagaizumi, Suntogun, Shizuoka 411 - 8777
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/1319-3767.133035

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The stenting strategy has been discussed in cases with unresectable hilar bile duct cancer (HBDC). We describe here a case of HBDC, 4 cm in size, invading the right portal vein and hepatic artery, which was only treated with repeated metallic stent placement, and the patient survived for a long period (51 months). Against Bismuth type-IV hilar biliary stricture, our strategy was to maintain the drainage of the largest, viable hepatic area (>50% of total liver) by unilateral multiple stent-in-stent.

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