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Updated: Mar 15, 2026

Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction
Published on: March 25, 2022
High Uptake of FDG Along a Biliary Stent
Yasunari Nagasaki1, Hiromichi Yamane, Nobuaki Ochi
1From the *Clinical Education and Training Center, Kawasaki Hospital, Kawasaki Medical School, Nakasange, Okayama; and †Department of General Internal Medicine 4, Kawasaki Medical School, Nakasange, Okayama, Japan.
Abstract:
A 66-year-old woman presented with abdominal discomfort. Contrast-enhanced CT revealed a mass in the pancreas and multiple liver metastases. Pathological examination confirmed the mass to be primary pancreatic cancer. Endoscopic insertion of a biliary stent was performed to prevent common bile duct obstruction. Subsequently, she received combination chemotherapy, which resulted in a complete response. FDG-PET-CT after chemotherapy revealed a high uptake of FDG along the outline of the biliary stent, with complete disappearance of both the primary and metastatic tumors.
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