Endoscopic rendez-vous reconstruction of complete biliary obstruction

被引：4

作者：

Neu, B. ^{[1
]}

Nennstiel, S. ^{[2
]}

von Delius, S. ^{[2
]}

Abdelhafez, M. ^{[2
]}

Bajbouj, M. ^{[2
]}

Schmid, R. M. ^{[2
]}

Berger, H. ^{[3
]}

Feussner, H. ^{[4
]}

Meining, A. ^{[5
]}

机构：

[1] Tech Univ Munich, Med Klin 2, Acad Teaching Hosp Landshut Achdorf, Munich, Germany

[2] Tech Univ Munich, Klinikum Rechts Isar, Klin & Poliklin Innere Med 2, Munich, Germany

[3] Tech Univ Munich, Klinikum Rechts Isar, Inst Diagnost & Intervent Radiol, Munich, Germany

[4] Tech Univ Munich, Klinikum Rechts Isar, Chirurg Klin & Poliklin, Munich, Germany

[5] Univ Klinikum Ulm, Klin Innere Med 1, Ulm, Germany

来源：

DIGESTIVE AND LIVER DISEASE | 2017年 / 49卷 / 07期

关键词：

Biliary tract diseases; Cholestasis; Endoscopy; ERCP; PTBD; Rendez-vous; STRICTURES; MANAGEMENT; DRAINAGE;

D O I：

10.1016/j.dld.2017.01.170

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

Background and study aims: Complete biliary strictures normally require surgical intervention. We describe an alternative, minimally invasive endoscopic/percutaneous rendez-vous technique for the reconstruction of complete benign biliary strictures. Patients and methods: Complete biliary strictures were reconstructed in four patients using a rendezvous percutaneous-endoscopic or percutaneous-percutaneous route guided by fluoroscopic and visual (transillumination) control. Results: All four patients were treated successfully and safely with the rendez-vous technique. Complications were caused by the preliminary creation, dilatation and maturation of the percutaneous tract. Conclusion: This technique may offer a good alternative to surgical bilio-enteric anastomosis in experienced hands. The long term course of the patients treated remains to be seen. (C) 2017 Editrice Gastroenterologica Italiana S.r.l. Published by Elsevier Ltd. All rights reserved.

引用

页码：769 / 772

页数：4

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