Surgery or Endoprosthesis for Malignant Obstructive Jaundice

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Surgery or Endoprosthesis for Malignant Obstructive Jaundice

Shepherd HA, Royle G, Ross APR, Diba A, Arthur M and Colin-Jones D (1988) Endoscopic biliary endoprosthesis in the palliation ofmalignant obstruction of the distal common bile duct." a randomized trial. British Journal ofSurgery; 75.’1166-1168 A total of 52 jaundiced elderly patients who had malignant obstruction of the distal common bile duct and who required palliative biliary decompression w...

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Palliation of malignant obstructive jaundice--surgery or stent?

The revolution in therapeutic endoscopy in the last decade has changed the accepted management ofmalignant obstructive jaundice. Non-operative biliary intervention for obstructive jaundice was first developed via the transhepatic route, although that approach was associated with all the problems of puncturing the obstructed liver, particularly bile leakage and bleeding.' With development of big...

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Randomised trial of endoscopic endoprosthesis versus operative bypass in malignant obstructive jaundice.

In patients with obstructive jaundice caused by malignant stricture of the extrahepatic bile duct we compared survival time, complication rates, hospitalisation requirements, and quality of life after palliation by endoscopic endoprosthesis or bypass surgery. During diagnostic endoscopic cholangiography 50 patients were randomised to the two treatment alternatives. All 25 patients randomised to...

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Malignant obstructive jaundice – brachytherapy as a tool for palliation

PURPOSE Malignant obstructive jaundice (MOJ) is relieved by stenting via endoscopic retrograde cholangiopancreatography (ERCP) or percutaneous transhepatic cholangiography and biliary drainage (PTCD). Stent occlusion rates of 30-45% have been reported in literature due to tumor ingrowth or overgrowth. We prospectively evaluated the feasibility and the role of intraluminal brachytherapy (ILBT) i...

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Factors affecting mortality and morbidity after surgery for obstructive jaundice.

cases appears to be that in their case, the cow's milk protein induced element of the enteropathy resolved at the age of 8! years, while our patient was still intolerant of both proteins at the time of publication. This situation, however, has changed in the last week. In August 1982, the child was clinically well and had a normal jejunal biopsy while on a gluten free and cow's milk free diet. ...

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ژورنال

عنوان ژورنال: HPB Surgery

سال: 1989

ISSN: 0894-8569

DOI: 10.1155/1989/61568