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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 40 - 46 (7page)
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Combined obstruction of the bile duct and duodenum is a common occurrence in periampullary malignancies. The obstruction ofgastric outlet or duodenum can follow, occur simultaneously, or precede biliary obstruction. The prognosis in patients with combinedobstruction is particularly poor. Therefore, minimally invasive palliation is preferred in these patients to avoid morbidity associatedwith surgery. Endoscopic palliation is preferred to surgical bypass due to similar efficacy, less morbidity, and shorter hospital stay. The success of endoscopic palliation depends on the type of bilioduodenal stenosis and the presence of previously placed duodenalmetal stents. Biliary cannulation is diffcult in type II bilioduodenal strictures where the duodenal stenosis is located at the level ofthe papilla. Consequentially, technical and clinical success is lower in these patients than in those with type I and III bilioduodenalstrictures. However, in cases with failure of endoscopic retrograde cholangiopancreatography, with the introduction of endoscopicultrasound for biliary drainage, the success of endoscopic bilioduodenal bypass is likely to increase further. The safety and effcacy ofendoscopic ultrasound-guided drainage has been documented in multiple studies. With the development of dedicated accessories andstandardization of drainage techniques, the role of endoscopic ultrasound is likely to expand further in cases with double obstruction.
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참고문헌 (40)
참고문헌 신청
Van Heek NT / 2003 / The need for a prophylactic gastrojejunostomy for unresectable periampullary cancer : a prospective randomized multicenter trial with special focus on assessment of quality of life / Ann Surg 238:894~902
Hamada T / 2018 / International study of endoscopic management of distal malignant biliary obstruction combined with duodenal obstruction / Scand J Gastroenterol 53:46~55
Mutignani M / 2007 / Combined endoscopic stent insertion in malignant biliary and duodenal obstruction / Endoscopy 39:440~447
Hosono S / 2007 / Endoscopic stenting versus surgical gastroenterostomy for palliation of malignant gastroduodenal obstruction : a meta-analysis / J Gastroenterol 42:283~290
Rudolph HU / 2011 / Malignant gastroduodenal obstruction : retrospective comparison of endoscopic and surgical palliative therapy / Scand J Gastroenterol 46:583~590
Hamada T / 2018 / International study of endoscopic management of distal malignant biliary obstruction combined with duodenal obstruction / Scand J Gastroenterol 53:46~55
Mutignani M / 2007 / Combined endoscopic stent insertion in malignant biliary and duodenal obstruction / Endoscopy 39:440~447
Hosono S / 2007 / Endoscopic stenting versus surgical gastroenterostomy for palliation of malignant gastroduodenal obstruction : a meta-analysis / J Gastroenterol 42:283~290
Rudolph HU / 2011 / Malignant gastroduodenal obstruction : retrospective comparison of endoscopic and surgical palliative therapy / Scand J Gastroenterol 46:583~590
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