It should be noted that RFA-induced acute pancreatitis is a potential adverse effect as RFA through SEMS is being used more widely.
📌 3 Maddede Bu Makale
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Amaç & Hipotez:We present a case of a 60-year-old woman with extrahepatic cholangiocarcinoma and recurrent malignant biliary strictures status post placement of two overlapping distal bile duct uncovered self-expandable metal stents (SEMSs) who presented with biliary obstruction due to tumor/tissue ingrowth.
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Temel Bulgular & Veri:She subsequently underwent radiofrequency ablation (RFA) through SEMS to improve biliary stent paten-cy.
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Sonuç & Katkı:It should be noted that RFA-induced acute pancreatitis is a potential adverse effect as RFA through SEMS is being used more widely.
🔬Tür:Araştırma Makalesi
📍Kapsam:Genişletilmiş Akademik Örneklem
⚙️Değişkenler:Alan Parametreleri
Özet
We present a case of a 60-year-old woman with extrahepatic cholangiocarcinoma and recurrent malignant biliary strictures status post placement of two overlapping distal bile duct uncovered self-expandable metal stents (SEMSs) who presented with biliary obstruction due to tumor/tissue ingrowth. She subsequently underwent radiofrequency ablation (RFA) through SEMS to improve biliary stent paten-cy. Post-RFA, thermal injury was observed in the periampullary mucosa. She later developed acute pancreatitis. This is the first case of RFA-induced acute pancreatitis with endoscopic evidence of thermal injury. It should be noted that RFA-induced acute pancreatitis is a potential adverse effect as RFA through SEMS is being used more widely.
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Bu Makaleye Atıf Yap
KRUGER, A. J., KRISHNA, S. G. (2018). Unexpected outcome following radiofrequency ablation of a malignant biliary stricture. Turkish Journal of Gastroenterology, Cilt: 29 - Sayı: 2, 230–232. https://ajindex.com/articles/410101
Parekh PJ, Majithia R, Sikka SK, et al. The “Scope” of Post-ERCP Pancreatitis. Mayo Clin Proc 2017; 92: 434-48. [CrossRef] 3. Steel AW, Postgate AJ, Khorsandi S, et al. Endoscopically applied radiofrequency ablation appears to be safe in the treatment of ma-lignant biliary obstruction. Gastrointest Endosc 2011; 73: 149-53. [CrossRef] 2. Kadayifci A, Atar M, Forcione DG, et al. Radiofrequency ablation for the management of occluded biliary metal stents. Endoscopy 2016; 48: 1096-101. [CrossRef] 1. Figueroa-Barojas P, Bakhru MR, Habib NA, et al. Safety and effi-cacy of radiofrequency ablation in the management of unresectable bile duct and pancreatic cancer: a novel palliation technique. J Oncol 2013; 2013: 910897. [CrossRef]