지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2013.1
- 수록면
- 260 - 266 (7page)
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초록· 키워드
오류제보하기
Although there is no survival advantage, inoperable hilar cholangiocarcinoma managed by palliative drainage may benefit from symptomatic improvement. In general, biliary drainage is divided into endoscopic or percutaneous approaches and surgical drainage. Plastic or metal stent is the most preferred device for palliative drainage in endoscopic approach. Considering cost-effectiveness, use of metallic stent is preferred than plastic stents in patients with more than 3 months of life expectancy with inoperable malignant biliary obstruction. In patients with unresectable malignant hilar obstruction, the endoscopic approach with biliary stent placement by experts has been considered as the treatment of choice. However, the endoscopic management of hilar obstruction is often more challenging and complex than distal malignant biliary obstructions. There is still a lack of clear consensus on the use of plastic versus metal stents and unilateral versus bilateral drainage since the decision should be made under many grounds such as the volume of liver drainage more than 50%, life expectancy, and expertise of the facility.
목차
등록된 정보가 없습니다.
참고문헌 (21)
참고문헌 신청
Chahal P / 2010 / Expandable metal stents for endoscopic bilateral stent-within-stent placement for malignant hilar biliary obstruction / Gastrointest Endosc 71 : 195 ~ 199
Davids PH / 1992 / Randomised trial of self-expanding metal stents versus polyethylene stents for distal malignant biliary obstruction / Lancet 340 : 1488 ~ 1492
Dowsett JF / 1989 / Endoscopic biliary therapy using the combined percutaneous and endoscopic technique / Gastroenterology 96 : 1180 ~ 1186
England RE / 2000 / A prospective randomised multicentre trial comparing 10 Fr Teflon Tannenbaum stents with 10 Fr polyethylene Cotton-Leung stents in patients with malignant
Jarnagin WR / 2001 / Staging, resectability, and outcome in 225 patients with hilar cholangiocarcinoma / Ann Surg 234 : 507 ~ 517
Davids PH / 1992 / Randomised trial of self-expanding metal stents versus polyethylene stents for distal malignant biliary obstruction / Lancet 340 : 1488 ~ 1492
Dowsett JF / 1989 / Endoscopic biliary therapy using the combined percutaneous and endoscopic technique / Gastroenterology 96 : 1180 ~ 1186
England RE / 2000 / A prospective randomised multicentre trial comparing 10 Fr Teflon Tannenbaum stents with 10 Fr polyethylene Cotton-Leung stents in patients with malignant
Jarnagin WR / 2001 / Staging, resectability, and outcome in 225 patients with hilar cholangiocarcinoma / Ann Surg 234 : 507 ~ 517
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