胰胆恶性肿瘤的内镜下姑息治疗

Endoscopic palliation of pancreaticobiliary malignancies.

作者信息

Shah Janak N, Muthusamy V Raman

机构信息

Department of Medicine, Division of Gastroenterology, University of California, San Francisco, 94115, USA.

出版信息

Gastrointest Endosc Clin N Am. 2005 Jul;15(3):513-31, ix. doi: 10.1016/j.giec.2005.03.003.

DOI:10.1016/j.giec.2005.03.003

PMID:15990055

Abstract

The palliation of pancreaticobiliary malignancies has changed over the last two decades. With the development of biliary stents, minimally invasive procedures have replaced surgical techniques. Endoscopically placed stents remain the mainstay for the palliative treatment of malignant biliary obstruction from unresectable pancreaticobiliary tumors. Further improvements in stent designs and advances in other endoscopic technologies are expected, and these should expand the role of minimally invasive palliation. This article reviews the current and anticipated roles of endoscopic techniques in the palliation of pancreaticobiliary malignancies.

摘要

在过去二十年中，胰胆恶性肿瘤的姑息治疗发生了变化。随着胆道支架的发展，微创治疗已取代了外科手术技术。内镜下放置支架仍然是不可切除的胰胆肿瘤所致恶性胆道梗阻姑息治疗的主要手段。预计支架设计将进一步改进，其他内镜技术也将取得进展，这些都将扩大微创姑息治疗的作用。本文综述了内镜技术在胰胆恶性肿瘤姑息治疗中的当前及预期作用。