Combined Intestinal and Biliary Stenting in Gastric Outlet and Biliary Obstruction

Guang Chuan Wang, Feng Liu, Tian Hua Xie, Fu Li Liu, Chun Qing Zhang


Background: Combined intestinal and biliary stenting is one of the effective palliative methods for patients with malignant gastric outlet and biliary obstruction. This study was to evaluate the effect of combined intestinal and biliary stenting in the palliation of gastric outlet and biliary obstruction.

Methods: Thirty-two patients with malignant gastric outlet and biliary obstruction underwent combined intestinal and biliary stenting. Intestinal stents were implanted by means of endoscopy and X-ray guidance. The subsequent biliary stents were implanted by percutaneous transhepatic cholangial drainage. The biliary stent pass through the side hole of intestinal stent mesh and its distal segment was located in the lumen of intestinal stent.

Results: Thirty-four intestinal stents and 32 biliary stents for 32 patients were implanted successfully. No lethal complications occurred. The average survival was 164 days.

Conclusions: The combined intestinal and biliary stenting is an effective and safe method for palliation of gastric outlet and biliary obstructions. The short-term results are satisfactory.

Gastroenterol Res. 2009;2(1):29-34


Gastric outlet obstruction; Biliary obstruction; Stents; Percutaneous transhepatic cholangial drainage

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