内視鏡的逆行性胆道ドレナージ endoscopic retrograde biliary drainage

English Journal

Therapeutic effects of endoscopic therapy combined with enteral nutrition on acute severe biliary pancreatitis.

Zhou WC, Li YM, Zhang H, Li X, Zhang L, Meng WB, Zhu KX, Zhang QB, He MY.SourceDepartment II of General Surgery, the First Hospital of Lanzhou University, the First Clinical Medical School of Lanzhou University; Lanzhou, Gansu 730000, China.
Chinese medical journal.Chin Med J (Engl).2011 Oct;124(19):2993-6.
BACKGROUND: Acute severe biliary pancreatitis (ASBP) is a severe and fatal disease, and the expenditure is huge and therapeutic effects are still not satisfactory. This study aimed to improve the therapeutic effects and reduce the expenditure of ASBP treatment.METHODS: One hundred and five patients
PMID 22040542

Endoscopic pancreatic duct and biliary duct stenting in treatment of chronic pancreatitis with distal benign biliary stricture: a single-center experience.

Zheng MW, Qin MF, Cai W.SourceDepartment of Surgery, Tianjin Nankai Hospital, Tianjin 300100, China. missyouxj@ 163.com
Hepatobiliary & pancreatic diseases international : HBPD INT.Hepatobiliary Pancreat Dis Int.2011 Oct;10(5):539-43.
BACKGROUND: The development of endoscopic techniques such as endoscopic retrograde cholangiopancreatography (ERCP), endoscopic sphincterotomy (EST) and stenting are relatively new alternatives to surgery for the treatment of benign lesions in the biliary duct and pancreas. The objective of this stud
PMID 21947730

Japanese Journal

ERBD--内視鏡的逆行性胆道ドレナージ ERPD--内視鏡的逆行性膵管ドレナージ (患者説明にフル活用できるシート満載! 消化器ナースのための外科内視鏡治療と検査) -- (肝胆膵の治療)

森泰寿,河野博,永吉洋介 [他]
消化器外科nursing [15](-) (191), 148-151, 2010
NAID 40017418435

内視鏡的逆行性胆道ドレナージ(ERBD) (特集 ENBD・RFA・PEG・ESD、etc…… 消化器外科の手術以外の治療17)

堤宏介,安井隆晴,貞苅良彦 [他]
消化器外科nursing 14(7), 660-662, 2009-07
NAID 40016725092

Related Pictures

★リンクテーブル★

リンク元	「内視鏡的胆道ドレナージ」「内視鏡的逆行性胆道ドレナージ」
関連記事	「ER」

「内視鏡的胆道ドレナージ」

　　[★]

英: endoscopic biliary drainage EBD
関: 内視鏡的逆行性膵胆管造影法 endoscopic retrograde biliary drainage ERBD

[show details]

内視鏡的胆管ドレナージ : 約 15,500 件
内視鏡的胆道ドレナージ : 約 43,700 件

概念

(医学辞書より)

内視鏡により十二指腸乳頭を経由して胆管ドレナージチューブを挿入すること。
歴史的には、内視鏡的乳頭切開術が開発された後、その合併症として起こる胆管結石の嵌頓による急性胆管炎の治療法として1980年に考案された。

参考

Endoscopic Biliary Drainage for Severe Acute Cholangitis

Edward C.S. Lai, F.R.C.S.(Ed.), F.R.A.C.S., Francis P.T. Mok, F.R.C.S.(Ed.), F.R.A.C.S., Eliza S.Y. Tan, R.N., Chung-mau Lo, F.R.C.S.(Ed.), Sheung-tat Fan, F.R.C.S.(Glas.), Kok-tjang You, M.D., and John Wong, Ph.D., F.R.A.C.S., F.R.C.S.(Ed.)
N Engl J Med 1992; 326:1582-1586June 11, 1992

Background.: Emergency surgery for patients with severe acute cholangitis due to choledocholithiasis is associated with substantial morbidity and mortality. Because recent results suggested that emergency endoscopic drainage could improve the outcome of such patients, we undertook a prospective study to determine the role of this procedure as initial treatment.

Results: Complications related to biliary tract decompression and subsequent definitive treatment developed in 14 patients treated with endoscopic biliary drainage and 27 treated with surgery (34 vs. 66 percent, P>0.05). The time required for normalization of temperature and stabilization of blood pressure was similar in the two groups, but more patients in the surgery group required ventilatory support. The hospital mortality rate was significantly lower for the patients who underwent endoscopy (4 deaths) than for those treated surgically (13 deaths) (10 vs. 32 percent, P<0.03). The presence of concomitant medical problems, a low platelet count, a high serum urea nitrogen concentration, and a low serum albumin concentration before biliary decompression were the other independent determinants of mortality in both groups.