Kónya A, Vigváry Z
Semmelweis Orvostudományi Egyetem Radiológiai Klinika, Budapest.
Orv Hetil. 1994 Mar 27;135(13):693-8.
A survey on treatment options for salvation of malfunctions of biliary endoprostheses is given. If the anatomical situation makes it feasible the endoscopic procedure should be preferred which is less cumbersome to the patient. Percutaneous interventions may include procedures from the mechanical unclogging of the lumen to the removal and changing of the occluded endoprosthesis. The authors emphasize the advantages of the endoprostheses over the external-internal drainage even if interventionalists should count on even multiple changing of endoprostheses due to their tendency to occlusion in patients with a tumor ensuring relative long life expectancy.
本文对胆道内支架功能障碍的挽救性治疗方案进行了综述。如果解剖情况允许，应首选内镜治疗，因为这对患者来说负担较小。经皮介入治疗可能包括从机械疏通管腔到取出和更换阻塞的内支架等操作。作者强调了内支架相对于内外引流的优势，即使介入医生应考虑到由于肿瘤患者内支架有阻塞倾向，可能需要多次更换内支架，以确保相对较长的预期寿命。
