[Endoscopic stenting for malignant pancreatobiliary strictures].

Q4 Medicine
Yu D Kulikov, Yu S Teterin, A S Mironova, P A Yartsev, T E Rohas Tadevosyan, K A Nugumanova
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引用次数: 0

Abstract

Objective: To improve the outcomes in patients with malignant obstructive jaundice using intraluminal stenting.

Material and methods: The present study included 62 patients with clinical symptoms of malignant obstructive jaundice. In the main group, we performed biliary stenting with self-expanding multi-perforated stents (Hanarostent Multi-hole Biliary). Microscopic perforations of these stents prevent migration and reduce the risk of blocking the cystic and main pancreatic ducts. In the control group, stenting was performed with fully and partially covered self-expanding stents.

Results: Lower incidence of obstructive cholecystitis and acute pancreatitis in the main group was associated with multiperforated stents reducing the risk of blocking the main pancreatic and cystic ducts.

Conclusion: In our study, multiperforated stents excluded migration and reduced the incidence of complications (acute cholecystitis from 11.5 to 3.8%, acute pancreatitis from 15.3 to 7.7%).

[恶性胰胆管狭窄的内镜支架治疗]。
摘要采用腔内支架植入术改善恶性梗阻性黄疸患者的治疗效果:本研究纳入了 62 例临床症状为恶性梗阻性黄疸的患者。在主要研究组中,我们使用自膨胀多孔支架(Hanarostent 多孔胆道支架)进行胆道支架置入术。这些支架上的微孔可防止支架移位,降低堵塞胆囊管和主胰管的风险。对照组则使用全覆盖和部分覆盖的自膨胀支架:结果:主要组阻塞性胆囊炎和急性胰腺炎的发病率较低,这与多孔支架降低了阻塞主胰管和胆囊管的风险有关:在我们的研究中,多孔支架避免了移位,降低了并发症的发生率(急性胆囊炎从11.5%降至3.8%,急性胰腺炎从15.3%降至7.7%)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Khirurgiya
Khirurgiya Medicine-Medicine (all)
CiteScore
0.70
自引率
0.00%
发文量
161
期刊介绍: Хирургия отдельных областей сердце, сосуды легкие пищевод молочная железа желудок и двенадцатиперстная кишка кишечник желчевыводящие пути печень
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