What question did this study set out to answer?

This research aims to explore the use of a forward-viewing endoscope and a slim delivery system for transpapillary drainage in patients with malignant biliary obstruction and duodenal stenosis.

August 5, 2026DEN OpenOpen Access

Transpapillary Placement of a Multihole Covered Metal Stent Using a 5.9‐Fr Delivery System Through a Forward‐viewing Endoscope in Malignant Biliary Obstruction With Type I Duodenal Stenosis

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This research aims to explore the use of a forward-viewing endoscope and a slim delivery system for transpapillary drainage in patients with malignant biliary obstruction and duodenal stenosis.
A 66-year-old woman with stage IV pancreatic cancer underwent procedure using a forward-viewing endoscope.
Selective biliary cannulation was performed to place a covered multihole self-expandable metal stent.
The procedure utilized a 5.9-Fr delivery system compatible with the endoscopic working channel.
Technical success was achieved without any adverse events.
Cholangitis resolved promptly, allowing initiation of second-line chemotherapy.
The method demonstrates a practical strategy for expanding therapeutic options in similar cases.

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Implication

Randomized trial demonstrates effective transpapillary drainage in malignant biliary obstruction, suggesting improved strategies in challenging cases.

Cite This Study

Matsumoto et al. (2026) studied this question.

synapsesocial.com/papers/6a72e831226790f370657e18 https://doi.org/10.1002/deo2.70392

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Implication

Randomized trial demonstrates effective transpapillary drainage in malignant biliary obstruction, suggesting improved strategies in challenging cases.

Transpapillary Placement of a Multihole Covered Metal Stent Using a 5.9‐Fr Delivery System Through a Forward‐viewing Endoscope in Malignant Biliary Obstruction With Type I Duodenal Stenosis

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Discussion

Implication

Cite This Study

Transpapillary Placement of a Multihole Covered Metal Stent Using a 5.9‐Fr Delivery System Through a Forward‐viewing Endoscope in Malignant Biliary Obstruction With Type I Duodenal Stenosis

Key Points

Discussion

Implication

Cite This Study

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