Internal bile diversion in patients with biliopancreatoduodenal cancer
Abstract
At the base of City Clinical Hospital No.68 (Moscow), the authors have studied materials of 167 case follow-ups with respect to obstructive jaundice caused by malignant lesions of the biliopancreatoduodenal area. The radical surgeries have not been performed due to tumour spread and/or severity of associated pathology. The paper compares results of the traditional treatment (application of biliodigestive anastomoses) and minimally invasive surgery with application of self-uncrumpled nitinol stents. As shown, the one-stage endobiliary stenting appears not to be inferior by clinical efficiency to the traditional method of palliative treatment. Besides, the minimally invasive implantation with the self-uncrumpled stents can be used irrespective of the severity of primary disease and manifestation of associated pathology.
About the Authors
R. E. Izrailov
Moscow State Medical Stomatology University
Russian Federation
Russian Federation
Yu. V. Kulezneva
Moscow State Medical Stomatology University
Russian Federation
Russian Federation
M. S. Kirillova
Moscow State Medical Stomatology University
Russian Federation
Russian Federation
V. I. Kapustin
Clinical Hospital No. 68, Moscow
Russian Federation
Russian Federation
E. Yu. Kupriyanov
Moscow State Medical Stomatology University
Russian Federation
Russian Federation
References
1. Bahra M., Jacob D. Surgical palliation of advanced pancreatic cancer // Recent Results Cancer Res. 2008. Vol. 177. P. 111-120.
2. Carrasco C.H., Wallace S., Charnsangavej C. et al. Expandable biliary endoprosthesis: an experimental study // AJR. 1985. Vol. 145. P. 1279-1281.
3. Distler M., Kersting S., Rückert F. et al. Palliative treatment of obstructive jaundice in patients with carcinoma of the pancreatic head or distal biliary tree. Endoscopic stent placement vs. Hepati-cojejunostomy // JOP. 2010. Vol. 11, No. 6. P. 568-574.
4. Inal M., Aksungur E., Akgül E. et al. Percutaneous placement of metallic stents in malignant biliary obstruction: one-stage or twostage procedure? Pre-dilate or not?// Cardiovasc. Intervent. Radiol. 2003. Vol. 26, No. 1. P. 40-45.
5. Lillemoe K.D., Cameron J.L., Hardacre J.M. et al. Is prophylactic gastrojejunostomy indicated for unresectable periampullary cancer? A prospective randomized trial // Ann. Surg. 1999. Vol. 230, No. 3. P. 322-330.
6. Molnan W., Stockum A.E. Relief of obstructive jaundice through percutaneous transhepatic catheter - a new therapeutic method // Am. J. Roentgenol. Radium Ther. Nucl. Med. 1974. Vol. 122, No. 2. P. 356-367.
7. Moss A.C., Morris E., Leyden J., MacMathuna P. Malignant distal biliary obstruction: a systematic review and meta-analysis of endoscopic and surgical bypass results // Cancer Treat. Rev. 2007. Vol. 33, No. 2. P. 213-221.
8. Schwarz A., Beger H.G. Biliary and gastric bypass or stenting in nonresectable periampullary cancer: analysis on the basis of controlled trials // Int. J. Pancreatol. 2000. Vol. 27, No. 1. P. 51-58.
9. Seldinger S.I. A simple method of catheterization of the spleen and liver // Acta radiol. 1957. Vol. 48, No. 2. P. 93-96.
10. Sperti C., Frison L., Liessi G., Pedrazzoli S. The management of obstructive jaundice in pancreatic cancer // Ann. Ital. Chir. 2007. Vol. 78, No. 6. P. 469-474.
11. Urbach D.R., Bell C.M., Swanstrom L.L., Hansen P.D. Cohort study of surgical bypass to the gallbladder or bile duct for the palliation of jaundice due to pancreatic cancer // Ann. Surg. 2003. Vol. 237, No. 1. P. 86-93.
12. Van den Bosch R.P., van der Schelling G.P., Klinkenbijl J.H. et al. Guidelines for the application of surgery and endoprostheses in the palliation of obstructive jaundice in advanced cancer of the pancreas // Ann. Surg. 1994. Vol. 219, No. 1. P. 18-24.
13. Van Heek N.T., De Castro S.M., van Eijck C.H. et al. The need for a prophylactic gastrojejunostomy for unresectable periampullary cancer: a prospective randomized multicenter trial with special focus on assessment of quality of life // Ann. Surg. 2003. Vol. 238, No. 6. P. 894-902.
14. Yoon W.J., Lee J.K., Lee K.H. et al. A comparison of covered and uncovered Wallstents for the management of distal malignant biliary obstruction // Gastrointest. Endosc. 2006. Vol. 63, No. 7. P. 996-1000.
15. Yoshida H., Mamada Y., Taniai N. et al. One-step palliative treatment method for obstructive jaundice caused by unresectable malignancies by percutaneous transhepatic insertion of an expandable metallic stent // World J. Gastroenterol. 2006. Vol. 12, No. 15. P. 2423-2426.
Review
For citations:
Izrailov R.E., Kulezneva Yu.V., Kirillova M.S., Kapustin V.I., Kupriyanov E.Yu. Internal bile diversion in patients with biliopancreatoduodenal cancer. Pacific Medical Journal. 2011;(4):66-70. (In Russ.)
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