COMBINED PERCUTANEOUS TRANSHEPATIC AND ENDOSCOPIC PLACEMENT OF BILIARY STENTS

被引：7
作者：
HUNT, JB
SAYER, JM
JACYNA, M
CROFTON, M
SUMMERFIELD, JA
机构：
[1] Department of Medicine, St Mary's Hospital Medical School
[2] Department of Radiology, St Mary's Hospital
来源：
SURGICAL ONCOLOGY-OXFORD | 1993年 / 2卷 / 05期
关键词：
BILE DUCT; ENDOSCOPIC; OBSTRUCTION; STENT; THERAPY; TRANSHEPATIC;
D O I：
10.1016/S0960-7404(06)80004-6
中图分类号：
R73 [肿瘤学];
学科分类号：
100214 ;
摘要：
Combined percutaneous transhepatic cholangiography and endoscopic retrograde cholangiography can be used to stent biliary obstruction when attempts at endoscopic stenting have failed. Between January 1987 and August 1991 we performed 35 combined procedures in 31 patients with malignant obstruction. Post stenting serum bilirubin and serum alkaline phosphatase concentration fell after 33 and 29 procedures, respectively. In six studies there was evidence of infection prior to stenting. In spite of the use of prophylactic antibiotics, septic complications developed after eight procedures (23%). Pseudomonas was the most commonly isolated pathogen (46%). Twenty-three patients were discharged, 30-day mortality was 8 (23%) and median survival was 14 weeks (range 0-75 weeks). Seven patients required eight stent changes because of blockage (median patency time 18 weeks; range 7-75 weeks). Use of this technique allows relief of biliary obstruction. Potential infective and bleeding complications must be anticipated.
引用
收藏
页码：293 / 298
页数：6
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