Malignant biliary obstruction: preliminary results of palliative treatment with hepaticogastrostomy under fluoroscopic, endoscopic, and laparoscopic guidance
| Autor: | O Prosmanne, Leduc R, Eric Therasse, Gilles Soulez, Pierre N. Robillard, E J Bernard, E Deslandres, Alfons Pomp, Gagner M |
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| Rok vydání: | 1994 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Anastomosis Surgical anastomosis medicine Humans Radiology Nuclear Medicine and imaging Aged Cholestasis Bile duct business.industry Stomach Palliative Care Stent Endoscopy Jaundice Middle Aged Curvatures of the stomach Surgery medicine.anatomical_structure Bile Ducts Intrahepatic Biliary Tract Neoplasms Biliary tract Fluoroscopy Female Laparoscopy Stents medicine.symptom business |
| Zdroj: | Scopus-Elsevier |
| ISSN: | 0033-8419 |
| Popis: | PURPOSE: To report a technique of peripheral biliary decompression by means of anastomosis of a bile duct in segment II of the liver to the lesser curvature of the stomach. MATERIALS AND METHODS: Seven patients with unresectable biliary neoplasm were treated. After transhepatic catheterization of a segment II bile duct, the left lobe of the liver and the lesser curvature of the stomach were perforated under fluoroscopic and laparoscopic guidance. Anastomosis between the biliary tree and the stomach was maintained with a gastrostomy tube placed across the tract. After 2 weeks, the tube was removed and patency of the tract was preserved with a metallic stent. RESULTS: Three patients died, at 3, 6, and 9 months, respectively, without reocclusion; the other four were alive at 5 months without jaundice. One patient had an episode of cholangitis, which was resolved with antibiotic therapy. CONCLUSION: This method yields a good patency rate with few problems. Further investigation is required to evaluate long-te... |
| Databáze: | OpenAIRE |
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