A remnant choledochal cyst after choledochal cyst excision treated with a lumen-apposing metal stent: a case report
| Autor: | Sang Hyub Lee, Woo Hyun Paik, Bo Kyung Kim, Ji Kon Ryu, Jung Won Chun, Yong-Tae Kim |
|---|---|
| Rok vydání: | 2022 |
| Předmět: |
medicine.medical_specialty
business.industry medicine.medical_treatment Gastroenterology Medicine (miscellaneous) Stent Lumen (anatomy) equipment and supplies medicine.disease Surgery 03 medical and health sciences surgical procedures operative 0302 clinical medicine Self-expandable metallic stent Dysplasia 030220 oncology & carcinogenesis medicine Initial treatment 030211 gastroenterology & hepatology Radiology Nuclear Medicine and imaging Cyst Choledochal cysts business Cystoduodenostomy |
| Zdroj: | Clinical Endoscopy. 55:564-569 |
| ISSN: | 2234-2443 2234-2400 |
| DOI: | 10.5946/ce.2019.176 |
| Popis: | A lumen-apposing metal stent (LAMS) is a saddle-shaped stent with large flanges at both ends, thereby preventing stent migration and helping with approximation of the adjacent structures. We report the case of a 25-year-old female with remnant choledochal cyst which was successfully treated with LAMS after initial treatment failure with a plastic stent. Although complete excision of the cyst is the definite treatment of choledochal cysts, endoscopic ultrasonography-guided cystoduodenostomy can be considered in cases wherein surgery is not feasible and dysplasia is not present. LAMS may be preferred to plastic stents for effective resolution of remnant choledochal cyst and prevention of ascending infection. |
| Databáze: | OpenAIRE |
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