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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
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.
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页码：769 / 772
页数：4
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