Schünemann M, Haes J, Oette M
Klinik für Allgemeine Innere Medizin, Gastroenterologie und Infektiologie, Krankenhaus der Augustinerinnen, Jakobstr. 27-31, 50678, Köln, Deutschland.
Internist (Berl). 2015 Jul;56(7):833-7. doi: 10.1007/s00108-015-3742-8.
A 61-year-old man with occlusion of the common bile duct due to metachronous metastases after surgery for adenocarcinoma of the stomach underwent a bile drainage intervention using endoscopic ultrasound (EUS). A self-expanding metal stent was inserted into the common bile duct of the liver via the esophagus. Successful drainage of the bile fluid into the duodenum was achieved for 14 months until the death of the patient. EUS interventions are becoming increasingly common. Although many questions such as the methodological details still remain, EUS interventions have the potential to become standard procedures especially in the situation of malignant stenoses of the bile or pancreatic duct.
一名61岁男性，因胃癌术后异时性转移导致胆总管梗阻，接受了内镜超声（EUS）引导下的胆汁引流干预。通过食管将自膨式金属支架置入肝脏的胆总管。胆汁成功引流至十二指肠达14个月，直至患者死亡。EUS干预正变得越来越普遍。尽管诸如方法学细节等许多问题仍然存在，但EUS干预尤其在胆管或胰管恶性狭窄的情况下有成为标准操作的潜力。
