Percutaneous choledocho-duodenal shunt for malignant biliary obstruction

<p>We developed a new method: percutaneous choledocho-duodenal shunt (PCDS) for complete biliary obstruction patient. At fi rst, percutaneous transhepatic cholangio drainage (PTCD) is performed as usual manner with local anesthesia. After the patient is recovered from bilirubinemia, percutaneo...

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Main Authors: Saburo Kakizoe (Author), Yumiko Kakizoe (Author), Hiroshi Kakizoe (Author), Keiji Kakizoe (Author)
Format: Book
Published: Archives of Clinical Gastroenterology - Peertechz Publications, 2018-04-12.
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042 |a dc 
100 1 0 |a Saburo Kakizoe  |e author 
700 1 0 |a  Yumiko Kakizoe  |e author 
700 1 0 |a  Hiroshi Kakizoe  |e author 
700 1 0 |a Keiji Kakizoe  |e author 
245 0 0 |a Percutaneous choledocho-duodenal shunt for malignant biliary obstruction 
260 |b Archives of Clinical Gastroenterology - Peertechz Publications,   |c 2018-04-12. 
520 |a <p>We developed a new method: percutaneous choledocho-duodenal shunt (PCDS) for complete biliary obstruction patient. At fi rst, percutaneous transhepatic cholangio drainage (PTCD) is performed as usual manner with local anesthesia. After the patient is recovered from bilirubinemia, percutaneous endoscopic gastrostomy (PEG) is performed with pull-through method under local anesthesia. Catheter of PEG is replaced to jejunal catheter after the gastrostomy is completed. These two catheters (catheter of PTCD and Jejunal catheter) are connected each other with extra-peritoneal shunt. The method is useful for the patient with complete biliary obstruction who cannot be performed biliary stenting.</p> 
540 |a Copyright © Saburo Kakizoe et al. 
546 |a en 
655 7 |a Surgical Technique  |2 local 
856 4 1 |u https://doi.org/10.17352/2455-2283.000051  |z Connect to this object online.