WordNet

of or relating to endoscopy
relating to the bile ducts or the gallbladder

PrepTutorEJDIC

排水,水抜き / 排水装置,排水路,下水路 / 下水,汚水

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1. 急性胆管炎 acute cholangitis
2. 急性有石胆嚢炎の治療 treatment of acute calculous cholecystitis
3. 悪性膵胆管閉塞に対する内視鏡下ステント留置術 endoscopic stenting for malignant pancreaticobiliary obstruction
4. オッディ括約筋機能不全の治療 treatment of sphincter of oddi dysfunction
5. 内視鏡的逆行性胆道膵管造影：適応、患者の準備、および合併症 endoscopic retrograde cholangiopancreatography indications patient preparation and complications

English Journal

Biliary complications after pancreaticoduodenectomy: skinny bile ducts are surgeons' enemies.

Duconseil P1, Turrini O, Ewald J, Berdah SV, Moutardier V, Delpero JR.
World journal of surgery.World J Surg.2014 Nov;38(11):2946-51. doi: 10.1007/s00268-014-2698-5.
BACKGROUND: The aim of this study was to determine the incidence and predisposing factors of biliary complications (BCs) after pancreaticoduodenectomy (PD) and report our experience in managing these BCs. Pancreatic surgery, particularly PD, has benefited from improvements in operative techniques an
PMID 25011578

Preoperative Biliary Drainage.

Saxena P1, Kumbhari V, Zein ME, Khashab MA.
Digestive endoscopy : official journal of the Japan Gastroenterological Endoscopy Society.Dig Endosc.2014 Oct 8. doi: 10.1111/den.12394. [Epub ahead of print]
The role of preoperative biliary drainage (PBD) in patients with distal or proximal biliary obstruction secondary to resectable tumors has been a matter for debate. A review of the literature using Medline, Embase and Cochrane databases was undertaken for studies evaluating routes of drainage (endos
PMID 25293587

The role of endoscopic ultrasound in pancreatic diseases: a systematic review.

Ashkar M1, Gardner TB.
Minerva gastroenterologica e dietologica.Minerva Gastroenterol Dietol.2014 Oct 7. [Epub ahead of print]
AIM: Since its introduction, Endoscopic Ultrasonography (EUS) has been increasingly gaining more attention for diagnosing various gastrointestinal conditions. We aim to systematically review the literature and highlight the benefit of using EUS in different pancreatic diseases by primarily reviewing
PMID 25288203

Japanese Journal

Preoperative biliary drainage for hilar cholangiocarcinoma : which stent should be selected?

KAWAKAMI Hiroshi,KONDO Satoshi,KUWATANI Masaki,YAMATO Hiroaki,EHIRA Nobuyuki,KUDO Taiki,ETO Kazunori,HABA Shin,MATSUMOTO Joe,KATO Kentaro,TSUCHIKAWA Takahiro,TANAKA Eiichi,HIRANO Satoshi,ASAKA Masahiro
Journal of hepato-biliary
… The controversy over whether and how to perform preoperative biliary drainage (PBD) in patients with hilar cholangiocarcinoma (HCA) remains unsettled. … In patients with HCA, PBD may be performed by either percutaneous transhepatic biliary drainage (PTBD) or endoscopic biliary drainage (EBD). …
NAID 10029688262

Preoperative biliary stents in pancreatic cancer

BONIN Eduardo A.,BARON Todd H.
Journal of hepato-biliary
NAID 10029688201

「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.