血浆置换术治疗恶性胆道梗阻术后持续性梗阻性黄疸疗效观察3例。

IF 0.9 Q4 GASTROENTEROLOGY & HEPATOLOGY

Clinical Journal of Gastroenterology Pub Date : 2025-06-22 DOI:10.1007/s12328-025-02168-1

Yuhei Iwasa, Keisuke Iwata, Ryuichi Tezuka, Takuji Iwashita, Shinya Uemura, Shota Iwata, Yosuke Ohashi, Yuki Murayama, Masahito Shimizu

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引用次数: 0

摘要

我们描述了三例血浆置换是有效的持续梗阻性黄疸，甚至在胆道引流后。所有三个病例涉及可切除或交界性可切除的恶性肿瘤，引起梗阻性黄疸。黄疸对胆道引流和药物治疗是难治性的，可导致长期的高胆红素血症。血浆置换导致所有病例的改善。血浆置换可能是标准疗法抵抗的持续性阻塞性黄疸的一种治疗选择。

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Three cases in which plasmapheresis was effective for persistent obstructive jaundice due to malignant biliary obstruction after biliary drainage.

We describe three cases in which plasmapheresis was effective for persistent obstructive jaundice, even after biliary drainage. All three cases involved resectable or borderline resectable malignant tumors that caused obstructive jaundice. Jaundice is refractory to biliary drainage and medication and results in prolonged hyperbilirubinemia. Plasmapheresis led to improvements in all cases. Plasmapheresis may be a treatment option for persistent obstructive jaundice resistant to standard therapies.

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来源期刊

Clinical Journal of Gastroenterology GASTROENTEROLOGY & HEPATOLOGY-

CiteScore

2.00

自引率

0.00%

发文量

182

期刊介绍： The journal publishes Case Reports and Clinical Reviews on all aspects of the digestive tract, liver, biliary tract, and pancreas. Critical Case Reports that show originality or have educational implications for diagnosis and treatment are especially encouraged for submission. Personal reviews of clinical gastroenterology are also welcomed. The journal aims for quick publication of such critical Case Reports and Clinical Reviews.