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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 소화기인터벤션의학회 International Journal of Gastrointestinal Intervention International Journal of Gastrointestinal Intervention 제8권 제2호
- 발행연도
- 2019.1
- 수록면
- 82 - 86 (5page)
이용수
초록· 키워드
오류제보하기
Background: Endoscopic-guided placement of metal stents for unresectable malignant hilar biliary obstruction (UMHBO) is performed using partial stent-in-stent or side-by-side (SBS) techniques. The latter involves placing sequential stents within the bile duct. Excessive dilation of the bile duct during stent placement can have serious effects on the surrounding organs.Methods: This study details seven cases of SBS placement of 8.0 mm metal stents for UMHBO. Histopathological examinations were performed to identify the effects on the bile duct and surrounding tissues.Results: The mean post-placement diameter of the bile ducts was 13.86 mm, and no compression necrosis or thrombi were observed in surrounding tissues. Cholangitis occurred in five cases, and death occurred as a result of cholecystitis in one case. Conclusion: The use of 8.0-mm stents for SBS is unlikely to have major negative effects on peribiliary tissues and blood vessels. However, post-placement cholecystitis can result in increased mortality; thus, gallbladder drainage should be considered.
목차
등록된 정보가 없습니다.
참고문헌 (15)
참고문헌 신청
Mukai T / 2013 / Metallic stents are more efficacious than plastic stents in unresectable malignant hilar biliary strictures : a randomized controlled trial / J Hepatobiliary Pancreat Sci 20:214~222
Vienne A / 2010 / Prediction of drainage effectiveness during endoscopic stenting of malignant hilar strictures : the role of liver volume assessment / Gastrointest Endosc 72:728~735
Kawakami H / 2015 / Technical tips and troubleshooting of endoscopic biliary drainage for unresectable malignant hilar biliary obstruction / J Hepatobiliary Pancreat Sci 22:E12~E21
Kawakubo K / 2015 / Single-step simultaneous side-by-side placement of a self-expandable metallic stent with a 6-Fr delivery system for unresectable malignant hilar biliary obstruction : a feasibility study / J Hepatobiliary Pancreat Sci 22:151~155
Inoue T / 2017 / Simultaneous versus sequential side-by-side bilateral metal stent placement for malignant hilar biliary obstructions / Dig Dis Sci 62:2542~2549
Vienne A / 2010 / Prediction of drainage effectiveness during endoscopic stenting of malignant hilar strictures : the role of liver volume assessment / Gastrointest Endosc 72:728~735
Kawakami H / 2015 / Technical tips and troubleshooting of endoscopic biliary drainage for unresectable malignant hilar biliary obstruction / J Hepatobiliary Pancreat Sci 22:E12~E21
Kawakubo K / 2015 / Single-step simultaneous side-by-side placement of a self-expandable metallic stent with a 6-Fr delivery system for unresectable malignant hilar biliary obstruction : a feasibility study / J Hepatobiliary Pancreat Sci 22:151~155
Inoue T / 2017 / Simultaneous versus sequential side-by-side bilateral metal stent placement for malignant hilar biliary obstructions / Dig Dis Sci 62:2542~2549
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