Biliary Decompression in Malignant Obstructive Jaundice
نویسندگان
چکیده
منابع مشابه
Biliary decompression promotes Kupffer cell recovery in obstructive jaundice.
BACKGROUND Jaundiced patients undergoing surgical procedures have an increased risk of Gram negative sepsis with potential morbidity and mortality. Depressed Kupffer cell clearance capacity (KCCC) predisposes jaundiced patients to endotoxaemia and its sequelae. Biliary decompression remains the main therapeutic strategy in obstructive jaundice. AIMS This study investigates the efficacy of int...
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As recent advances in chemotherapy and surgical treatment have improved outcomes in patients with biliary cancers, the search for an optimal strategy for relief of their obstructive jaundice has become even more important. Without satisfactory relief of biliary obstruction, many patients would be ineligible for treatment. We review all prospective randomized trials and recent retrospective non-...
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BACKGROUND In patients requiring surgical resection for malignant biliary jaundice, it is unclear if preoperative biliary drainage (PBD) would improve mortality and morbidity by restoration of biliary flow prior to operation. This is a meta-analysis to pool the evidence and assess the utility of PBD in patients with malignant obstructive jaundice. The primary outcome is comparing mortality outc...
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Malignancies leading to obstructive jaundice present too late to perform surgery with a curative intent. Due to inexorably progressing hyperbilirubinemia with its consequent deleterious effects, drainage needs to established even in advanced cases. Percutaneous transhepatic biliary drainage (PTBD) and endoscopic retrograde cholangiopancreatography (ERCP) are widely used palliative procedures ea...
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Health technology The use of two methods for endoscopic placement of biliary stents in patients with pancreatic carcinoma. The methods examined were plastic (polyethylene) stents and metallic stents. Plastic stents were widely used due to their ease of insertion and low costs. However, their major disadvantage was their tendency to clog because of bacterial biofilm formation and biliary sludge....
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ژورنال
عنوان ژورنال: Annaly khirurgicheskoy gepatologii = Annals of HPB surgery
سال: 2018
ISSN: 2408-9524,1995-5464
DOI: 10.16931/1995-5464.2015354-58