胰腺癌的姑息治疗——支架介入治疗
Palliative therapy in pancreatic cancer-interventional treatment with stents.
作者信息
Waldthaler Alexander, Rutkowski Wiktor, Valente Roberto, Arnelo Urban, Löhr J-Matthias
机构信息
Department of Upper Abdominal Diseases at Karolinska University Hospital, and Clinical Science, Intervention and Technology (CLINTEC), Karolinska University Hospital, Stockholm, Sweden.
出版信息
Transl Gastroenterol Hepatol. 2019 Jan 31;4:7. doi: 10.21037/tgh.2019.01.05. eCollection 2019.
Abstract
Interventional treatment with stents in pancreatic cancer is a topic that developed during recent years and new fields of palliative stent therapy have evolved. The increasing life expectancy of patients with unresectable pancreatic cancer increases the need for clinical and cost effective therapeutic interventions. Current literature, guidelines, practice and evidence were reviewed. Besides the most obvious biliary stenting via endoscopic retrograde cholangiopancreatography (ERCP), pancreatic and gastroduodenal stenting as well as percutaneous transhepatic cholangiography (PTC) and the rapidly growing field of endosonographic stent implantation in the palliative care of patients with pancreatic cancer are being discussed from several points of view in this review.
摘要
胰腺癌的支架介入治疗是近年来发展起来的一个领域，姑息性支架治疗的新领域也不断涌现。不可切除胰腺癌患者预期寿命的延长，增加了对临床及性价比高的治疗干预措施的需求。本文回顾了当前的文献、指南、实践及证据。除了通过内镜逆行胰胆管造影术（ERCP）进行最常见的胆道支架置入外，本文还从多个角度探讨了胰腺癌患者姑息治疗中胰腺和胃十二指肠支架置入、经皮肝穿刺胆管造影术（PTC）以及快速发展的内镜超声引导下支架植入领域。
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本文引用的文献
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Updates in Therapeutic Endoscopic Ultrasonography.治疗性内镜超声的最新进展。
J Clin Gastroenterol. 2018 Oct;52(9):765-772. doi: 10.1097/MCG.0000000000001104.
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Endoscopic biliary stenting: indications, choice of stents, and results: European Society of Gastrointestinal Endoscopy (ESGE) Clinical Guideline - Updated October 2017.内镜下胆管支架置入术：适应证、支架选择和结果：欧洲胃肠道内镜学会（ESGE）临床指南-更新于 2017 年 10 月。
Endoscopy. 2018 Sep;50(9):910-930. doi: 10.1055/a-0659-9864. Epub 2018 Aug 7.
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EUS-Guided Biliary Drainage Versus ERCP for the Primary Palliation of Malignant Biliary Obstruction: A Multicenter Randomized Clinical Trial.超声内镜引导下胆道引流与 ERCP 治疗恶性胆道梗阻的初次减黄作用：一项多中心随机临床试验。
Am J Gastroenterol. 2018 Jul;113(7):987-997. doi: 10.1038/s41395-018-0122-8. Epub 2018 Jul 2.
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Different options of endosonography-guided biliary drainage after endoscopic retrograde cholangio-pancreatography failure.内镜逆行胰胆管造影失败后内镜超声引导下胆道引流的不同选择。
World J Gastrointest Endosc. 2018 May 16;10(5):99-108. doi: 10.4253/wjge.v10.i5.99.
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Endoscopic duodenal stent versus surgical gastrojejunostomy for gastric outlet obstruction in patients with advanced pancreatic cancer.内镜十二指肠支架置入术与外科胃空肠吻合术治疗晚期胰腺癌患者胃出口梗阻的比较
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Efficacy of EUS-guided and ERCP-guided biliary drainage for malignant biliary obstruction: prospective randomized controlled study.EUS-引导与 ERCP-引导胆道引流治疗恶性胆道梗阻的疗效：前瞻性随机对照研究。
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