Gabrielsson N, Granqvist S, Sonnenfeld T
Acta Radiol Diagn (Stockh). 1985 Jan-Feb;26(1):57-61. doi: 10.1177/028418518502600109.
Attempts were made to introduce an endoprosthesis into the biliary tract using endoscopic technique in 13 patients with unresectable extrahepatic biliary obstruction. In all but one papillotomy was performed. Successful insertion of the prosthesis was achieved in 11 patients, 10 of whom had effective palliation of jaundice. Mean survival was 4 1/2 months (range one week-13 months). One patient developed pancreatitis following prosthesis insertion. No further complications occurred in the series. This method is an attractive alternative to biliodigestive bypass procedures in patients with inoperable pancreaticobiliary lesions. When compared with internal and/or external drainage by the percutaneous transhepatic technique the method to place an endoprosthesis endoscopically has several advantages.
尝试采用内镜技术对13例无法切除的肝外胆管梗阻患者进行胆管内假体植入。除1例患者外，其余均行乳头切开术。11例患者成功植入假体，其中10例黄疸得到有效缓解。平均生存期为4个半月（范围为1周 - 13个月）。1例患者在假体植入后发生胰腺炎。该系列中未出现其他并发症。对于无法手术的胰胆管病变患者，该方法是胆汁消化旁路手术的一种有吸引力的替代方法。与经皮经肝技术进行的内引流和/或外引流相比，内镜下放置假体的方法具有多个优点。
