Bill Jason G, Mullady Daniel K
Washington University School of Medicine in St. Louis, 660 South Euclid Avenue, Campus Box 8124, St Louis, MO 63110, USA.
Interventional Endoscopy, Washington University School of Medicine in St. Louis, 660 South Euclid Avenue, Campus Box 8124, St Louis, MO 63110, USA.
Gastrointest Endosc Clin N Am. 2019 Apr;29(2):215-235. doi: 10.1016/j.giec.2018.12.001. Epub 2019 Jan 23.
Benign and malignant biliary strictures are common indications for endoscopic retrograde cholangiopancreatography. Diagnosis involves high-quality cross-sectional imaging and cholangiography with various endoscopic sampling techniques. Treatment options include placement of plastic biliary stents and self-expanding metal stents, which differ in patency duration and cost effectiveness. Whether the etiology is benign or malignant, a multidisciplinary strategy should be implemented. This article will discuss general principles of biliary stenting in both benign and malignant conditions.
良性和恶性胆管狭窄是内镜逆行胰胆管造影的常见适应症。诊断包括高质量的横断面成像和采用各种内镜取样技术的胆管造影。治疗选择包括放置塑料胆管支架和自膨式金属支架,它们在通畅持续时间和成本效益方面存在差异。无论病因是良性还是恶性,都应实施多学科策略。本文将讨论良性和恶性情况下胆管支架置入的一般原则。