Smilanich R P, Hafner G H
Washington Hospital Center, Department of Surgery, Washington, DC.
Dig Dis Sci. 1994 Dec;39(12):2645-9. doi: 10.1007/BF02087703.
Biliary stents have become a common palliative measure in the treatment of unresectable obstructive pancreatic cancer. Survival after endoscopic stenting rivals that of surgical bypass. Complications involving stents are not uncommon and can be categorized as related to placement, obstruction, migration, or fracture. A case report and review of stent-related morbidity is presented. Overall complication rates range from 15 to 34%, often requiring stent replacement and occasionally requiring surgical intervention.
胆管支架已成为治疗无法切除的梗阻性胰腺癌的一种常见姑息性措施。内镜下支架置入后的生存率可与手术旁路相媲美。涉及支架的并发症并不少见,可分为与放置、梗阻、移位或断裂相关的并发症。本文介绍了一例病例报告及对支架相关发病率的综述。总体并发症发生率在15%至34%之间,常常需要更换支架,偶尔还需要手术干预。