ArticleWorld journal of gastrointestinal surgery2026
Diagnosis of bile duct metastasis from gastric cancer by endoscopic retrograde cholangiopancreatography combined with choledochoscopy: A case report.
Article in World journal of gastrointestinal surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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2 citing papers in PubMed.
- Direct visualization-assisted enteral stent placement in malignant colorectal obstruction: a case report.Frontiers in medicine · 2026Article
- Direct visualization-guided endoscopic management of complex colonic diverticular disease: a proof-of-concept case series.Frontiers in medicine · 2026Article
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7 authors.
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Abstract
backgroundBile duct metastasis from gastric cancer is a very rare secondary cancer, which can cause biliary obstruction. CASE SUMMARY: A 42-year-old male presented with right upper abdominal discomfort and jaundice after a total gastrectomy for poorly differentiated gastric adenocarcinoma. He underwent comprehensive laboratory tests and imaging examinations, and ultimately endoscopic retrograde cholangiopancreatography with choledochoscopy was performed. Stenoses were identified in the common hepatic duct and the common bile duct. Under choledochoscopic guidance, biopsy was taken from the bile duct tissue at the stenotic site. Then, a plastic stent was placed across the stenosis. Pathological examination with immunohistochemical staining confirmed poorly differentiated adenocarcinoma of the common bile duct. Following the procedure, the patient's liver function gradually improved, and his abdominal discomfort was also relieved.
conclusionThis case indicates the possibility of bile duct metastasis from gastric cancer and highlights the necessity of endoscopic retrograde cholangiopancreatography combined with choledochoscopy in patients with suspicious malignant biliary obstruction.
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