The obstructed afferent loop: Percutaneous options
Gastrointestinal Intervention
;
: 129-137, 2016.
Article
Dans Anglais
| WPRIM
| ID: wpr-167191
ABSTRACT
Endoscopic drainage can be considered the treatment of choice in benign and malignant obstruction of the distal biliary tree, with percutaneous intervention reserved for cases of difficult access or complex hilar strictures. However in patients with altered anatomy due to pancreatico-duodenectomy gastrectomy, or Bilroth II reconstruction, endoscopy can be exceptionally challenging and often impossible. Surgery remains the gold standard for benign causes of obstruction of a bilio-enteric anastomosis or afferent loop, and percutaneous management remains controversial. Novel endoscopic techniques such as double balloon enteroscopy and endoscopic ultrasound guided procedures can overcome some of the anatomical challenges, but a percutaneous approach is a more established technique for cases of malignant obstruction of a bilio-enteric anastomosis or afferent loop. The altered anatomy presents unique challenges which must be fully contemplated and understood before intervention should occur, to avoid the risk of permanent external drainage.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Conduits biliaires
/
Voies biliaires
/
Tumeurs des voies biliaires
/
Drainage
/
Échographie
/
Sténose pathologique
/
Syndrome de l'anse afférente
/
Endoscopie
/
Entéroscopie double ballon
/
Endoprothèses métalliques auto-expansibles
Type d'étude:
Etude diagnostique
Limites du sujet:
Humains
langue:
Anglais
Texte intégral:
Gastrointestinal Intervention
Année:
2016
Type:
Article
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