Air cholangiogram: a new technique for biliary imaging during ERCP
| Autor: | Mandhir Kumar, Rajesh Puri, Amit Thawrani, Sabir Hussain, Randhir Sud |
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| Rok vydání: | 2010 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Contrast Media Pilot Projects Cholestasis Intrahepatic Single Center Cholangiocarcinoma Cholangiography medicine Humans Radiology Nuclear Medicine and imaging Prospective Studies Prospective cohort study Aged Cholangiopancreatography Endoscopic Retrograde medicine.diagnostic_test business.industry Air Gastroenterology Stent Middle Aged medicine.disease Surgery Endoscopy Stenosis Contrast medium Bile Ducts Intrahepatic surgical procedures operative Bile Duct Neoplasms Biliary tract Lymphatic Metastasis Female Gallbladder Neoplasms Stents Radiology business |
| Zdroj: | Gastrointestinal Endoscopy. 72:204-208 |
| ISSN: | 0016-5107 |
| DOI: | 10.1016/j.gie.2010.02.042 |
| Popis: | Background Palliation of patients with malignant hilar stenosis by stent insertion is fraught with risk of cholangitis because of contrast injection in the undrained segment. Objective The purpose of this study was to evaluate the results of unilateral metal stenting in type II and III malignant hilar biliary obstruction by using air as a contrast medium. Design Prospective, uncontrolled, single center pilot study. Setting Tertiary care referral center. Patients Cohort of 17 patients with malignant hilar obstruction. Intervention A single metallic stent was inserted in type II and III malignant hilar obstruction by using air as a contrast medium. Patients were evaluated weekly up to 1 month after stent placement. Main Outcome Measures Successful implantation, successful drainage, early complications, procedure-related mortality, 30-day mortality. Result Successful stent placement and drainage was achieved in 100% of the patients (17 of 17). No patient developed cholangitis or died within 30 days of the procedure. Limitations Small cohort of patients. Conclusion Air cholangiography provides a safe and effective roadmap for unilateral metallic stenting in type II and III malignant hilar biliary obstruction. |
| Databáze: | OpenAIRE |
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