Yriberry Ureña Simón, Monge Zapata Victor
Médico Gastroenterólogo, Unidad de Endoscopia, Clínica Ricardo Palma, Peru
Rev Gastroenterol Peru. 2007 Jul-Sep;27(3):303-6.
Pancreatic cancer producing obstructive jaundice can be handled temporarily or permanently if it is inoperable with stents placed endoscopically by means of an endoscopic retrograde cholangio-pancreatography, or ERCP. These can be made of teflon plastic of relatively short duration (average 2 months) or permanent metallic ones. The metallic stents are made of non-covered metallic mesh that can be obstructed by the growth of the neoplasia and invasion of the lumen. We present the case of a patient with a metallic stent suffering from cholangitis due to tumoral growth. A salvaging procedure was performed.
导致梗阻性黄疸的胰腺癌若无法手术,可通过内镜逆行胰胆管造影术(ERCP)经内镜放置支架进行临时或永久性处理。这些支架可以是持续时间相对较短(平均2个月)的聚四氟乙烯塑料支架,也可以是永久性金属支架。金属支架由无覆膜金属网制成,可能会因肿瘤生长和管腔侵犯而堵塞。我们报告一例因肿瘤生长导致胆管炎的金属支架置入患者的病例,并实施了挽救性手术。