Intraductal ablation by radiofrequency for inoperable biliopancreatic neoplasms with jaundice: experience at a regional hospital
| Autor: | Lidia Marti Romero, Jesús Estellés Arnau, Jose Manuel Querol Ribelles, Inmaculada Castelló Miralles, Vanesa Martínez Escapa |
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| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty Radiofrequency ablation medicine.medical_treatment Jaundice Adenocarcinoma law.invention Cholangiocarcinoma 03 medical and health sciences 0302 clinical medicine law medicine Humans Aged 80 and over Radiofrequency Ablation Endoscopic retrograde cholangiopancreatography Cholestasis medicine.diagnostic_test business.industry Gastroenterology Retrospective cohort study General Medicine Middle Aged Ablation Hospitals Regional hospital Pancreatic Neoplasms Catheter surgical procedures operative Bile Duct Neoplasms Spain 030220 oncology & carcinogenesis 030211 gastroenterology & hepatology Female Radiology medicine.symptom Complication business |
| Zdroj: | Revista espanola de enfermedades digestivas : organo oficial de la Sociedad Espanola de Patologia Digestiva. 111(6) |
| ISSN: | 1130-0108 |
| Popis: | The current treatment of choice for inoperable and/or unresectable biliopancreatic neoplasms complicated by jaundice is the placement of metal biliary stents. The most common complication is obstruction due to tumor growth. The application of radiofrequency ablation (RFA) is a new minimally invasive technique for the thermal ablation of the tumor tissue that causes biliary stenosis. Experience with RFA is scarce and there are few retrospective studies of clinical cases with a limited number of patients. Thus, there is little information on technical difficulty, safety and short-medium term monitoring. We present three cases, one cholangiocarcinoma and two pancreatic adenocarcinomas, with jaundice due to biliary stenosis. RFA was used with an ELRA catheter during endoscopic retrograde cholangiopancreatography (ERCP). The patients were monitored for ten months in order to assess the difficulty of treatment, efficacy and immediate and medium-term complications. |
| Databáze: | OpenAIRE |
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