Endoscopy department, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, México City, México.
Endoscopy. 2011 Sep;43(9):826-30. doi: 10.1055/s-0030-1256406. Epub 2011 Aug 10.
A total of 11 prospective cases of endoscopic ultrasound (EUS)-guided cholangio-drainage (EUCD) in patients with end-stage biliopancreatic cancer and biliary tract obstruction are reported. Other available drainage methods (endoscopic retrograde cholangiopancreatography and/or percutaneous transhepatic biliary drainage) of the biliary tract were attempted without success prior to EUS. Technical and clinical success was achieved in 10/11 patients (91%) and in 9/10 patients (90%), respectively. Bilirubin decreased by more than 50% in 7/11 patients (64%). One patient had a complication that required re-intervention and another patient developed biloma. No mortality directly related to the procedure was documented. In conclusion, EUCD is a good alternative for patients with malignant obstruction of the biliary tract in whom other drainage methods have failed.
共报告了 11 例终末期胆胰恶性肿瘤伴胆道梗阻患者行内镜超声（EUS）引导下胆道引流术（EUCD）的前瞻性病例。在进行 EUS 之前，已尝试了其他可用的胆道引流方法（内镜逆行胰胆管造影术和/或经皮经肝胆道引流术），但均未成功。10/11 例（91%）和 9/10 例（90%）患者分别达到了技术和临床成功。11 例患者中有 7 例（64%）胆红素下降超过 50%。1 例患者出现并发症，需要再次介入治疗，另 1 例患者出现胆漏。无与该操作直接相关的死亡病例。总之，对于其他引流方法失败的恶性胆道梗阻患者，EUCD 是一种很好的选择。
