Endoscopic nasobiliary drainage is the most suitable preoperative biliary drainage method in the management of patients with hilar cholangiocarcinoma

Kawakami, Hiroshi; Kuwatani, Masaki; Onodera, Manabu; Haba, Shin; Eto, Kazunori; Ehira, Nobuyuki; Yamato, Hiroaki; Kudo, Taiki; Tanaka, Eiichi; Hirano, Satoshi; Kondo, Satoshi; Asaka, Masahiro

Endoscopic nasobiliary drainage is the most suitable preoperative biliary drainage method in the management of patients with hilar cholangiocarcinoma

Kawakami, Hiroshi; Kuwatani, Masaki; Onodera, Manabu et al.

JOURNAL OF GASTROENTEROLOGY, 2011, 46(2), 242-248

Permalink : https://hdl.handle.net/2115/44960

このアイテムのアクセス数:2,055件（2026-08-12 11:16 集計）

閲覧可能ファイル

ファイル	フォーマット	サイズ	閲覧回数	説明
Kawakami46-2_242-248	pdf	130 KB	3,408

論文情報

ファイル出力 EndNote Basic出力 Mendeley出力

アクセス権	open access
URI	https://hdl.handle.net/2115/44960
タイトル	Endoscopic nasobiliary drainage is the most suitable preoperative biliary drainage method in the management of patients with hilar cholangiocarcinoma
著者	Kawakami, Hiroshi ; Kuwatani, Masaki ; Onodera, Manabu ; Haba, Shin ; Eto, Kazunori ; Ehira, Nobuyuki ; Yamato, Hiroaki ; Kudo, Taiki ; Tanaka, Eiichi ; Hirano, Satoshi ; Kondo, Satoshi ; Asaka, Masahiro
著者名 Kawakami, Hiroshi
著者名 Kuwatani, Masaki
著者名 Onodera, Manabu
著者名 Haba, Shin
著者名 Eto, Kazunori
著者名 Ehira, Nobuyuki
著者名 Yamato, Hiroaki
著者名 Kudo, Taiki
著者名 Tanaka, Eiichi
著者名 Hirano, Satoshi
著者名 Kondo, Satoshi
著者名 Asaka, Masahiro
言語	英語
キーワード	Hilar cholangiocarcinoma
	Preoperative biliary drainage
	Endoscopic biliary drainage
	Endoscopic nasobiliary drainage
	Percutaneous transhepatic biliary drainage
発行日	2011-02
出版者	SPRINGER TOKYO
収録物名	JOURNAL OF GASTROENTEROLOGY
巻(号)	46(2)
ページ	242-248
抄録	Controversy exists over the preferred technique of preoperative biliary drainage (PBD) in patients with hilar cholangiocarcinoma (HCA). The goal of this retrospective study was to identify the preferred technique of PBD for HCA. A total of 128 consecutive patients with HCA diagnosed between September 1999 and December 2009 who underwent PBD were included in this study. The study compared outcomes of endoscopic nasobiliary drainage (ENBD), endoscopic biliary stenting (EBS), and percutaneous transhepatic biliary drainage (PTBD) in patients with HCA. There were no significant differences in preoperative laboratory data, rates of major hepatectomy, or decompression periods among the 3 groups. Complications were significantly more frequent in the EBS group compared with either the ENBD or PTBD group (p < 0.05). Drainage tube occlusion with cholangitis was significantly more common in the EBS group compared with either the ENBD or PTBD group (p < 0.0001). Patients in the PTBD group experienced serious complications including vascular injury (8%) and cancer dissemination (4%). Patients in the ENBD and EBS groups had mild post-endoscopic retrograde cholangiopancreatography pancreatitis (5%). Conversion procedures were significantly more common in the EBS group compared with the ENBD and PTBD groups (p < 0.05). There was no significant difference in postsurgical morbidity or mortality among the 3 groups. Drainage tube occlusion with cholangitis was a frequent complication associated with EBS. PTBD was associated with serious complications such as vascular injury and cancer dissemination. ENBD was found to be the most suitable method for initial PBD management in patients with HCA.
資源タイプ	学術雑誌論文
出版タイプ	Accepted Manuscript
権利情報	The original publication is available at www.springerlink.com
PISSN	0944-1174
NCID	AA10988015
関連情報	PMID 20700608
関連情報 (isVersionOf)	出版社版DOI https://doi.org/10.1007/s00535-010-0298-1