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A remnant choledochal cyst after choledochal cyst excision treated with a lumen-apposing metal stent: a case report

  • Bo Kyung Kim (Department of Internal Medicine and Liver Research Institute, Seoul National University Hospital, Seoul National University College of Medicine) ;
  • Jung Won Chun (Department of Internal Medicine and Liver Research Institute, Seoul National University Hospital, Seoul National University College of Medicine) ;
  • Sang Hyub Lee (Department of Internal Medicine and Liver Research Institute, Seoul National University Hospital, Seoul National University College of Medicine) ;
  • Ji Kon Ryu (Department of Internal Medicine and Liver Research Institute, Seoul National University Hospital, Seoul National University College of Medicine) ;
  • Yong-Tae Kim (Department of Internal Medicine and Liver Research Institute, Seoul National University Hospital, Seoul National University College of Medicine) ;
  • Woo Hyun Paik (.Department of Internal Medicine and Liver Research Institute, Seoul National University Hospital, Seoul National University College of Medicine)
  • 투고 : 2019.09.09
  • 심사 : 2019.11.09
  • 발행 : 2022.07.30

초록

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.

키워드

과제정보

The patient provided informed consent and agreed to publication of the images.

참고문헌

  1. Todani T, Watanabe Y, Toki A, et al. Classification of congenital biliary cystic disease: special reference to type Ic and IVA cysts with primary ductal stricture. J Hepatobiliary Pancreat Surg 2003;10:340-344.
  2. Soreide K, Soreide JA. Bile duct cyst as precursor to biliary tract cancer. Ann Surg Oncol 2007;14:1200-1211.
  3. Lee SE, Jang JY, Lee YJ, et al. Choledochal cyst and associated malignant tumors in adults: a multicenter survey in South Korea. Arch Surg 2011;146:1178-1184.
  4. Todani T, Tabuchi K, Watanabe Y, et al. Carcinoma arising in the wall of congenital bile duct cysts. Cancer 1979;44:1134-1141.
  5. Mussetto A, Fugazza A, Fuccio L, et al. Current uses and outcomes of lumen-apposing metal stents. Ann Gastroenterol 2018;31:535-540.
  6. Hammad T, Khan MA, Alastal Y, et al. Efficacy and safety of lumen-apposing metal stents in management of pancreatic fluid collections: are they better than plastic stents? A systematic review and meta-analysis. Dig Dis Sci 2018;63:289-301.
  7. Bank JS, Adler DG. Lumen apposing metal stents: a review of current uses and outcomes. Gastrointestinal Intervention 2017;6:9-14.
  8. Singham J, Schaeffer D, Yoshida E, et al. Choledochal cysts: analysis of disease pattern and optimal treatment in adult and paediatric patients. HPB (Oxford) 2007;9:383-387.
  9. Singham J, Yoshida EM, Scudamore CH. Choledochal cysts. Part 3 of 3: management. Can J Surg 2010;53:51-56.
  10. Xia HT, Yang T, Liang B, et al. Treatment and outcomes of adults with remnant intrapancreatic choledochal cysts. Surgery 2016;159:418-425.
  11. Tan MY, Madhavan KK. An endoscopic approach for drainage of a remnant intra-pancreatic choledochal cyst-a rare complication following choledochal cyst excision causing gastric outlet obstruction. HPB (Oxford) 2018;20(Suppl 2):S751.
  12. Yirgin H, Oter V, Aziret M, et al. Remnant choledochal cyst; report of a case. CausaPedia 2017;6:170-175.
  13. DeSimone ML, Asombang AW, Berzin TM. Lumen apposing metal stents for pancreatic fluid collections: recognition and management of complications. World J Gastrointest Endosc 2017;9:456-463.
  14. Bang JY, Navaneethan U, Hasan MK, et al. Non-superiority of lumen-apposing metal stents over plastic stents for drainage of walled-off necrosis in a randomised trial. Gut 2019;68:1200-1209.
  15. Wang K, Zhu J, Xing L, et al. Assessment of efficacy and safety of EUS-guided biliary drainage: a systematic review. Gastrointest Endosc 2016;83:1218-1227.
  16. Khashab MA, Messallam AA, Penas I, et al. International multicenter comparative trial of transluminal EUS-guided biliary drainage via hepatogastrostomy vs. choledochoduodenostomy approaches. Endosc Int Open 2016;4:E175-E181.
  17. Guo J, Feng L, Sun S, et al. Risk factors for infection after endoscopic ultrasonography-guided drainage of specific types of pancreatic and peripancreatic fluid collections (with video). Surg Endosc 2016;30:3114-3120.
  18. Brimhall B, Han S, Tatman PD, et al. Increased incidence of pseudoaneurysm bleeding with lumen-apposing metal stents compared to double-pigtail plastic stents in patients with peripancreatic fluid collections. Clin Gastroenterol Hepatol 2018;16:1521-1528.