Biliary & Dudoenal SEMS Placement

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added:
2 months ago
views:
404
specialty:
Gastroenterology

Case description

Biliary & dudoenal SEMS placement advanced pancreatic cancer with duodenal stricture. Biliary metallic stent followed by a duodenal metalic stent. 

Steps:

1: Access to the CBD.

2: Contrast injection

3: Insertion and release of the SEMS biliary stent

4: Contrast injection in the Duodenum to evaluation the length of the structure & the length of of the stent.

5: Passsing the guide wire throw the duodenal structure and looping in jejunum.

6: Insertion of the SEMS duodenal stent and release of the stent under fluoroscopic & endoscopic view.

7: Contrast injection ton control the duodenal lumen after stent deployment.

 

tags: biliary stenting cpre sousse duodenal cancer duodenum endoscopy ercp pancreatic cancer sems

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