Gu W Q
General Hospital of PLA, Beijing.
Zhonghua Wai Ke Za Zhi. 1993 Dec;31(12):739-42.
This paper reports 19 cases of malignant obstructive jaundice treated by endoscopic retrograde biliary drainage (ERBD). Since 1989, ERBD is a palliative treatment of inserted into the obstructed bile duct by endoscopy. This method can efficiently relieve biliary obstruction. Elimination jaundice reduces some discomforts such as irritating pruritus. It also increases the appetite and improve patient's general physical condition. Temporary preoperative decompression of the bile ducts in seriously jaundiced patients should result in a significant reduction postoperative morbidity and mortality. There were 9 patients of this group who underwent operation after a short period of drainage, These patients weren't found any postoperative complication. ERBD also be used for palliative decompression of the bile duct in cases of inoperable cancer. The method was carried out in 7 inoperable patients of this group. Results were satisfactory.
本文报道了19例经内镜逆行胆管引流术(ERBD)治疗的恶性梗阻性黄疸病例。自1989年以来,ERBD是一种通过内镜插入梗阻胆管的姑息治疗方法。该方法能有效缓解胆管梗阻。消除黄疸可减轻一些不适,如刺激性瘙痒。它还能增加食欲并改善患者的一般身体状况。严重黄疸患者术前临时胆管减压应能显著降低术后发病率和死亡率。该组中有9例患者在短期引流后接受了手术,这些患者未发现任何术后并发症。ERBD也可用于无法手术切除的癌症患者胆管的姑息性减压。该组中有7例无法手术的患者采用了该方法,结果令人满意。