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[胰腺癌梗阻性金属胆道支架的处理:支架套叠。病例报告及文献复习]

[Management of obstructed metallic biliary stent in pancreatic cancer: stent within a stent. Case report and review of the literature].

作者信息

Yriberry Ureña Simón, Monge Zapata Victor

机构信息

Médico Gastroenterólogo, Unidad de Endoscopia, Clínica Ricardo Palma, Peru

出版信息

Rev Gastroenterol Peru. 2007 Jul-Sep;27(3):303-6.

PMID:17934545
Abstract

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.

摘要

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。

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