PERCUTANEOUS TREATMENTS FOR BILIARY DISEASES

被引:28
作者
AKIYAMA, H [1 ]
OKAZAKI, T [1 ]
TAKASHIMA, I [1 ]
SATOH, S [1 ]
RYAN, T [1 ]
IWAMORI, S [1 ]
HIDAKA, T [1 ]
MORIO, K [1 ]
OKUHARA, T [1 ]
机构
[1] HIROSHIMA CITY ASA GEN HOSP,DEPT INTERNAL MED,ASAKITA KU,HIROSHIMA 73102,JAPAN
关键词
Bile ducts; intervenrional procedure; 76.1228; stenosis or obstruction; 76.28; US studies; 76.12986; Cholangitis; 76.288; Cholecystitis; 762.285; Gallbladder; caliculi; 762.289; interventional procedure; 762.1228;
D O I
10.1148/radiology.176.1.2191366
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
Percutaneous treatment of biliary disease was administered in 173 cases, mainly among high-risk or elderly patients. Diagnosis was acute cholecystitis in 32 cases, acute cholangitis in 16, hepatic abscess in five, gallbladder stones in 28, common bile duct stones in 11, intrahepatic stones in five, malignant obstructive jaundice in 61, and benign biliary stenosis in 15. The treatment was successful in 158 of 173 cases (91.3%). Complications were encountered in 17 (9.8%). Most of these occurred during the initial period and were mild and controllable with conservative treatments. There were two deaths (1.2% of patients); one was not related to the procedure. These data suggest that percutaneous treatments are safe and effective even among elderly or high-risk patients with biliary diseases.
引用
收藏
页码:25 / 30
页数:6
相关论文
共 53 条
[31]   LOW-DOSE CHENODIOL TO PREVENT GALLSTONE RECURRENCE AFTER DISSOLUTION THERAPY [J].
MARKS, JW ;
LAN, SP ;
BAUM, RA ;
HABIG, RL ;
HANSON, RF ;
HERSH, T ;
HIGHTOWER, NC ;
HOFMANN, AF ;
LACHIN, JM ;
LASSER, EC ;
MEKHJIAN, H ;
OKUN, R ;
SCHAEFER, RA ;
SCHOENFIELD, LJ ;
SOLOWAY, RD ;
THISTLE, JL ;
THOMAS, FB ;
TYOR, MP .
ANNALS OF INTERNAL MEDICINE, 1984, 100 (03) :376-381
[32]   PREOPERATIVE PERCUTANEOUS TRANS-HEPATIC BILIARY DRAINAGE - THE RESULTS OF A CONTROLLED TRIAL [J].
MCPHERSON, GAD ;
BENJAMIN, IS ;
HODGSON, HJF ;
BOWLEY, NB ;
ALLISON, DJ ;
BLUMGART, LH .
BRITISH JOURNAL OF SURGERY, 1984, 71 (05) :371-375
[33]  
NIMURA Y, 1981, Stomach and Intestine (Tokyo), V16, P681
[34]  
NORRBY S, 1970, Acta Chirurgica Scandinavica, V136, P711
[35]   PERCUTANEOUS BILIARY DRAINAGE IN ACUTE SUPPURATIVE CHOLANGITIS [J].
NUNEZ, D ;
GUERRA, JJ ;
ALSHEIKH, WA ;
RUSSELL, E ;
MENDEZ, G .
GASTROINTESTINAL RADIOLOGY, 1986, 11 (01) :85-89
[36]   RECURRENCE AND RE-RECURRENCE OF GALL-STONES AFTER MEDICAL DISSOLUTION - A LONGTERM FOLLOW UP [J].
ODONNELL, LDJ ;
HEATON, KW .
GUT, 1988, 29 (05) :655-658
[37]  
PATTERSONBROWN S, 1987, BR J HOSP MED, V37, P546
[38]   DOES PREOPERATIVE PERCUTANEOUS BILIARY DRAINAGE REDUCE OPERATIVE RISK OR INCREASE HOSPITAL COST [J].
PITT, HA ;
GOMES, AS ;
LOIS, JF ;
MANN, LL ;
DEUTSCH, LS ;
LONGMIRE, WP .
ANNALS OF SURGERY, 1985, 201 (05) :545-553
[39]  
RUPPIN DC, 1982, LANCET, V23, P181
[40]   FRAGMENTATION OF GALLSTONES BY EXTRACORPOREAL SHOCK-WAVES [J].
SAUERBRUCH, T ;
DELIUS, M ;
PAUMGARTNER, G ;
HOLL, J ;
WESS, O ;
WEBER, W ;
HEPP, W ;
BRENDEL, W .
NEW ENGLAND JOURNAL OF MEDICINE, 1986, 314 (13) :818-822