Air cholangiogram: a new technique for biliary imaging during ERCP - 24/08/11
Reprint requests: Rajesh Puri, MD, DNB, Room No 313, Old building, Department of Gastroenterology and Hepatology, Sir Ganga Ram hospital, Rajinder Nagar, New Delhi, IndiaRésumé |
Background |
Palliation of patients with malignant hilar stenosis by stent insertion is fraught with risk of cholangitis because of contrast injection in the undrained segment.
Objective |
The purpose of this study was to evaluate the results of unilateral metal stenting in type II and III malignant hilar biliary obstruction by using air as a contrast medium.
Design |
Prospective, uncontrolled, single center pilot study.
Setting |
Tertiary care referral center.
Patients |
Cohort of 17 patients with malignant hilar obstruction.
Intervention |
A single metallic stent was inserted in type II and III malignant hilar obstruction by using air as a contrast medium. Patients were evaluated weekly up to 1 month after stent placement.
Main Outcome Measures |
Successful implantation, successful drainage, early complications, procedure-related mortality, 30-day mortality.
Result |
Successful stent placement and drainage was achieved in 100% of the patients (17 of 17). No patient developed cholangitis or died within 30 days of the procedure.
Limitations |
Small cohort of patients.
Conclusion |
Air cholangiography provides a safe and effective roadmap for unilateral metallic stenting in type II and III malignant hilar biliary obstruction.
Le texte complet de cet article est disponible en PDF.Abbreviation : SEMS
Plan
| DISCLOSURE: All authors disclosed no financial relationships relevant to this publication. |
Vol 72 - N° 1
P. 204-208 - juillet 2010 Retour au numéro
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