書誌事項
- タイトル別名
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- A clinical evaluation of a biliary endoprosthesis for a stricuture of hepaticojejunostomy using a Self-Expandable Metallic Stent
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説明
An evaluation was made of the efficacy of a biliary endoprosthesis for the stricture of hepaticojejunostomy using self-expanadable metallic stents (EMS). From February 1991 to December 1995, EMS were placed in 6 patients, including one patient had gastric cancer, intrahepatic caliculi and congenital bile duct dilatation, and 3 had bile duct cancer. The site of the stricture were hepaticojejunostomy of pancreatoduodenectomy in 2, extrahepatic bile duct resection in 4, including three cases with partial hepatectomy. The cause of a stricture was recurrence of the tumor in 3, inflammation in 3. In all patients, the EMS was placed successfully without complications and led them to be tube-free. As patients with the recurrence of the tumor have a disturbance of motility of the limb, repeat cholangitis soon after EMS placement was observed. In the patients with inflammatory stricture, long-term placement of the EMS, over a year, caused repeat cholangitis. EMS placement for the stricture of hepaticojejunostomy have an advantage in that patients is in tube-free, while there is a problem that repeat cholangitis is observed before too long. We conclude that for the stricuture of hepaticojejunostomy, an external biliary drainage should be used in tumor recurrence, and re-anastomosis should be used in inflammatory stricture.
収録刊行物
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- Tando
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Tando 11 (5), 397-402, 1997
Japan Biliary Association
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詳細情報 詳細情報について
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- CRID
- 1390282680443718272
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- NII論文ID
- 10007048721
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- NII書誌ID
- AN10062001
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- ISSN
- 09140077
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- 本文言語コード
- ja
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- データソース種別
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- JaLC
- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可
