Endoscopic stenting of bile and pancreatic ducts in pancreatic head cancer complicated by obstructive jaundice: A clinical case
https://doi.org/10.34215/1609-1175-2025-3-77-82
Abstract
The article presents a clinical case of endoscopic stenting of the bile and pancreatic ducts in a patient with pancreatic head cancer complicated by obstructive jaundice. The anatomical and functional characteristics of the hepato-biliary-pancreatoduodenal area, which determine the shared embryological origin, blood supply, innervation, and lymphatic drainage of organs therein, are described. The diagnostic challenges associated with the absence of specific symptoms in the early stages of tumor growth in pancreatic head cancer are outlined. The pathophysiological mechanisms of biliary hypertension due to tumor compression of the distal common bile duct are discussed. The stages of clinical and instrumental evaluation and the algorithm of minimally invasive palliative intervention with plastic stent placement are detailed. The results confirm the effectiveness of endoscopic retrograde cholangiopancreatography in restoring the patency of the bile and pancreatic ducts, reducing bilirubin levels, and stabilizing the patient’s general condition. The case underscores the importance of early instrumental intervention in biliary tract obstruction associated with pancreatic tumors.
About the Authors
N. A. Surkov
Russian National Research Medical University named after N.I. Pirogov
Russian Federation
Russian Federation
Moscow
O. M. Dondup
Russian National Research Medical University named after N.I. Pirogov
Russian Federation
Russian Federation
Olga M. Dondup, Cand. Sci. (Med.),, Associate Professor of the Department of Topographic Anatomy and Operative Surgery named after Academician Yu.M. Lopukhin of IAM
1, build. 6 Ostrovityanova str., Moscow, 117513, Russia
tel.: +7 (985) 643-15-14;
D. A. Rudkovskaya
Russian National Research Medical University named after N.I. Pirogov
Russian Federation
Russian Federation
Moscow
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Review
For citations:
Surkov N.A., Dondup O.M., Rudkovskaya D.A. Endoscopic stenting of bile and pancreatic ducts in pancreatic head cancer complicated by obstructive jaundice: A clinical case. Pacific Medical Journal. 2025;(3):77-82. (In Russ.) https://doi.org/10.34215/1609-1175-2025-3-77-82
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