Hagenmüller F
Leber Magen Darm. 1985 Nov;15(6):262-70.
Endoscopic placement of endoprosthesis in the bile and pancreatic duct system has opened up new possibilities in palliative treatment of patients with obstructing tumors, where the risk of surgical intervention is too high, the risk of this endoscopic procedure however being acceptable (complication rate 9.8%, lethality 3.5%). Success rate of implanting prosthesis into the bile duct is 90%, leading to improvement of jaundice in 80% of the cases. The endoprosthesis occlude on the average after 3 months by incrustation and then have to be replaced. The clinical relevance of draining the pancreas by this procedure cannot yet be evaluated because of lack of sufficient experience.
内镜下在胆管和胰管系统放置内支架为手术干预风险过高的梗阻性肿瘤患者的姑息治疗开辟了新途径，而这种内镜手术的风险是可以接受的（并发症发生率9.8%，死亡率3.5%）。胆管内支架植入成功率为90%，80%的病例黄疸得到改善。内支架平均3个月后因结痂堵塞，需更换。由于经验不足，目前尚无法评估该手术对胰腺引流的临床意义。
