ผู้ป่วยเป็น Cholangiocarcinoma on biliary stent and recurrence jaundice
A biliary stent is a plastic or metal tube that is inserted into a bile duct to relieve narrowing of the duct (also called bile duct stricture)
Treatment obstructions that occur in the bile ducts. Bile is a substance that helps to digest fats and is produced by the liver, secreted through the bile ducts, and stored in the gallbladder. It is released into the small intestine after a fat-containing meal has been eaten. The release of bile is controlled by a muscle called the sphincter of Oddi found at the junction of the bile ducts and the small intestine
ส่วนสาเหตุที่เกิด stent obstruction ก็คงเป็นดังความเห็นที่ส่งมา
![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhXuv-y3bD9SBP63OLMCkVKEGr758eT7SiixkjJv8P20ADYe8IK4tjXKkBvnJfIT4oIlWMWjFdIFmJZ3REm_70Z-906nnir_jUE7IUQGLVW-VNfn2q93S0ooRCqJdcXl_MQe3fDCmG6M-Qp/s400/Biliary+stent+%2B+CHCA.jpg)
cholangioCA ใส่stent แล้วมัน ตัน , หรือ tumor progression ป่าวครับ
ตอบลบCholangioCA ที่เหมือนจะมี metas ไปทั่วตับ +/- intrahepatic cholangioCA + stent งอ ที่เป็นไปได้คือ
ตอบลบ1. liver metastasis
2. Stent kink
3. progression of intrahepatic cholangioCA