Biliary Radiofrequency Ablation and Sphincterotomy Restenosis: A Unique Case of Biliary Obstruction.

IF 0.5 Q4 GASTROENTEROLOGY & HEPATOLOGY
ACG Case Reports Journal Pub Date : 2025-09-08 eCollection Date: 2025-09-01 DOI:10.14309/crj.0000000000001824
Muhammad Saad Faisal, Muneer Hasso, Abdulmalik Saleem, Muhammad Salman Faisal, Sumit Singla
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引用次数: 0

Abstract

Biliary radiofrequency ablation is an emerging adjunctive and palliative therapy for patients with ampullary and biliary tumors. Given the high mortality for these malignancies, data on long-term complications are limited. We report a unique case of sphincterotomy restenosis causing biliary obstruction in a 98-year-old woman with a history of ampullary adenocarcinoma treated with papillectomy and biliary radiofrequency ablation (RFA). Endoscopic retrograde cholangiopancreatography revealed restenosis at the sphincterotomy site, managed successfully with repeat sphincterotomy and stenting. This case highlights sphincterotomy restenosis as a potential late complication of biliary RFA and emphasizes the need for awareness of delayed biliary obstruction in post-RFA patients.

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Abstract Image

Abstract Image

胆道射频消融加括约肌切开术再狭窄:胆道梗阻一例。
胆道射频消融是一种新兴的辅助和姑息性治疗壶腹和胆道肿瘤的患者。鉴于这些恶性肿瘤的高死亡率,有关长期并发症的数据有限。我们报告一个独特的病例括约肌切开术再狭窄导致胆道梗阻,在一个98岁的妇女壶腹腺癌的历史,治疗乳头切除和胆道射频消融(RFA)。内镜逆行胆管造影显示括约肌切开术部位再狭窄,通过重复括约肌切开术和支架置入术成功处理。本病例强调括约肌切开术再狭窄是胆道RFA的潜在晚期并发症,并强调RFA后患者需要意识到延迟性胆道梗阻。
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来源期刊
ACG Case Reports Journal
ACG Case Reports Journal GASTROENTEROLOGY & HEPATOLOGY-
自引率
14.30%
发文量
170
审稿时长
12 weeks
期刊介绍: ACG Case Reports Journal is a peer-reviewed, open-access publication that provides GI and hepatology fellows, private practice clinicians, and other healthcare providers an opportunity to share interesting case reports with their peers and with leaders in the field. ACG Case Reports Journal publishes case reports, images, videos and letters to the editor in all topics of gastroenterology and hepatology, including: Biliary Colon Endoscopy Esophagus Functional Bowel Disorders Inflammatory Bowel Disease Liver Nutrition and Obesity Pancreas Pathology Pediatric Small Bowel Stomach.
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