Percutaneous endoscopic gastrostomy/jejunostomy combined with percutaneous transhepatic biliary drainage in treating malignant biliary obstruction
Medical Principles and Practice. 2011; 20 (1): 47-50
em Inglês
| IMEMR
| ID: emr-110997
ABSTRACT
To investigate the safety and efficacy of percutaneous endoscopic gastrostomy/jejunostomy [PEG/PEJ] combined with percutaneous transhepatic biliary drainage [PTCD] in treating malignant biliary obstruction. Nine patients [6 males and 3 females, average age 71.3 +/- 5.5 years] with complete obstruction of the biliary tract were treated with PEG/PEJ after PTCD. The PEG/PEJ and PTCD tubes were linked outside of the abdominal wall to direct the externally drained bile back to the jejunum through the PEG/PEJ intestinal tube. Clinical symptoms and liver function were assessed following the treatment. The operations were successfully completed in the 9 patients within 40 min [average 35 +/- 2.9 min]. Clinical symptoms such as jaundice, abdominal distension, stomachache and diarrhea appeared but improved within 7 days of the operation. Serum levels of bilirubin, aspartate aminotransferase and alanine aminotransferase were reduced [p < 0.01] 4 weeks following the treatment. There were no procedural complications. Combined PEG/PEJ and PTCD appeared to be safe and effective in the management of malignant biliary obstruction. Further, larger-scale studies will be needed to verify findings of this report
Buscar no Google
Índice:
IMEMR (Mediterrâneo Oriental)
Assunto principal:
Neoplasias Pancreáticas
/
Ductos Biliares Intra-Hepáticos
/
Jejunostomia
/
Gastrostomia
/
Radiografia Intervencionista
/
Endoscopia Gastrointestinal
/
Resultado do Tratamento
/
Colangiocarcinoma
/
Icterícia Obstrutiva
/
Testes de Função Hepática
Limite:
Feminino
/
Humanos
/
Masculino
Idioma:
Inglês
Revista:
Med. Princ. Pract.
Ano de publicação:
2011
Similares
MEDLINE
...
LILACS
LIS