Percutaneous Transhepatic Duodenal Drainage as an Alternative Approach in Afferent Loop Obstruction with Secondary Obstructive Jaundice in Recurrent Gastric Cancer

Journal Article · Wed Jul 15 00:00:00 EDT 1998 · Cardiovascular and Interventional Radiology

DOI:https://doi.org/10.1007/S002709900277· OSTI ID:21080385

Yao, N -S ^[1]; Wu, C -W ^[2]; Tiu, Chui-Mei ^[3]; Liu, Jacqueline M; Whang-Peng, Jacqueline; Chen, L -T ^[1]

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1. Division of Cancer Research, National Health Research Institutes, A191, Veterans General Hospital, 201, Shih-Pai Road, Sec. 2, Taipei 112 (China)
2. National Yang-Ming University, No. 155, Sec. 2, Lih-Nong Street, Taipei 112 (China)
3. Department of Radiology, Veterans General Hospital, 201, Shih-Pai Road, Sec. 2, Taipei 112 (China)

Two cases are reported of chronic, partial afferent loop obstruction with resultant obstructive jaundice in recurrent gastric cancer. The diagnosis was made by characteristic clinical presentations, abdominal computed tomography, and cholescintigraphy. Percutaneous transhepatic duodenal drainage (PTDD) provided effective palliation for both afferent loop obstruction and biliary stasis. We conclude that cholescintigraphy is of value in making the diagnosis of partial afferent loop obstruction and in differentiating the cause of obstructive jaundice in such patients, and PTDD provides palliation for those patients in whom surgical intervention is not feasible.

• OSTI ID: 21080385
• Journal Information: Cardiovascular and Interventional Radiology, Vol. 21, Issue 4; Other Information: DOI: 10.1007/s002709900277; Copyright (c) 1996 Springer-Verlag New York Inc; Country of input: International Atomic Energy Agency (IAEA); ISSN 0174-1551
• Country of Publication: United States
• Language: English

Related Subjects

62 RADIOLOGY AND NUCLEAR MEDICINE
COMPUTERIZED TOMOGRAPHY
DIAGNOSIS
DRAINAGE
JAUNDICE
NEOPLASMS
PATIENTS
SURGERY