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Medline ® Abstract for Reference 55

of '恶性胰胆管梗阻的内镜下支架置入术'

55
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Endoscopic fenestration of duodenal stents using argon plasma to facilitate ERCP.
AU
Topazian M, Baron TH
SO
Gastrointest Endosc. 2009;69(1):166.
 
BACKGROUND: The presence of a duodenal stent may hinder attempts at ERCP for treatment of malignant biliary obstruction.
OBJECTIVE: We describe 2 patients in whom endoscopic fenestration of indwelling duodenal stents with an argon plasma coagulator facilitated successful ERCP.
DESIGN: Single-center retrospective case series.
SETTING: Tertiary-referral center.
PATIENTS: Both patients had unresectable biliary malignancy with both duodenal and biliary obstruction.
INTERVENTION AND RESULTS: Windows were cut into indwelling duodenal stents with argon plasma, which exposed the underlying papilla and allowed successful ERCP and stent placement.
LIMITATIONS: Retrospective study and the small sample size.
CONCLUSIONS: Fenestration of duodenal stents using argon plasma is a simple technique that can facilitate ERCP.
AD
Miles and Shirley Fiterman Center for Digestive Diseases, Division of Gastroenterology and Hepatology, Department of Internal Medicine, Mayo Clinic, Rochester, Minnesota 55906, USA.
PMID