TY - JOUR AB - The surgical management of patients with malignant biliary and duodenal obstruction is complex. Tumor excision is no longer possible in the majority of patients with malignant obstructive jaundice and duodenal obstruction. The aim of the present study was to evaluate the effectiveness of intraluminal dual stent placement in malignant biliary and duodenal obstruction. In total, 20 patients with malignant obstructive jaundice and duodenal obstruction, including 6 with pancreatic carcinoma, 11 with cholangiocarcinoma, 1 with duodenal carcinoma and 2 with abdominal lymph node metastasis, were treated with intraluminal stent placement. Bile duct obstruction with late occurrence of duodenal obstruction was observed in 16 cases, and duodenal obstruction followed by a late occurrence of bile duct obstruction was observed in 3 cases, while, in 1 case, bile duct obstruction and duodenal obstruction occurred simultaneously. After X‑ray fluoroscopy revealed obstruction in the bile duct and duodenum, stents were placed into the respective lumens. Percutaneous transhepatic placement was employed for the biliary stent, while the duodenal stent was placed perioraly. The clinical outcomes, including complications associated with the procedures and patency of the stents, were evaluated. The biliary and duodenal stents were successfully implanted in 18 patients and the technical success rate was 90% (18/20). A total of 39 stents were implanted in 20 patients. In 2 cases, duodenal stent placement failed following biliary stent placement. Duodenal obstruction remitted in 15 patients, and 1 patient succumbed to aspiration pneumonia 5 days after the procedure. No severe complications were observed in any other patient. The survival time of the 18 patients was 5‑21 months (median, 9.6 months), and 6 of those patients survived for >12 months. The present study suggests that X‑ray fluoroscopy‑guided intraluminal stent implantation is an effective procedure for the treatment of malignant biliary and duodenal obstruction. AD - Department of Hepatopancreatobiliary Surgery, Harbin Medical University Cancer Hospital, Harbin, Heilongjiang 150040, P.R. China AU - Zhao,Liang AU - Xu,Haitao AU - Zhang,Yubao DA - 2016/01/01 DO - 10.3892/etm.2015.2875 EP - 352 IS - 1 JO - Exp Ther Med KW - biliary obstruction duodenal obstruction stent radiology interventional PY - 2016 SN - 1792-0981 1792-1015 SP - 348 ST - Palliation double stenting for malignant biliary and duodenal obstruction T2 - Experimental and Therapeutic Medicine TI - Palliation double stenting for malignant biliary and duodenal obstruction UR - https://doi.org/10.3892/etm.2015.2875 VL - 11 ER -