Percutaneous Endoscopic Biliary Stenting (PEBS) Using the Percutaneous Fine Needle Puncture Method in Malignant Complete Biliary Obstruction.
- Author:
Hun Jong KIM
1
;
Jin Hong KIM
;
Kwang Hyun KO
;
Dong Seok HAN
;
Jun Ho KO
;
Byung Moo YOO
;
Ki Baik HAHM
;
Sung Won CHO
Author Information
1. Department of Gastroenterology, Ajou University School of Medicine, Suwon, Korea.
- Publication Type:Original Article
- Keywords:
Malignant obstructive jaundice;
ERBD;
Percutaneous endoscopic biliary stenting
- MeSH:
Bile Ducts;
Cholangiopancreatography, Endoscopic Retrograde;
Constriction, Pathologic;
Drainage;
Duodenum;
Endoscopes;
Humans;
Jaundice, Obstructive;
Needles*;
Palliative Care;
Punctures*;
Sphincterotomy, Endoscopic;
Stents*
- From:Korean Journal of Gastrointestinal Endoscopy
2000;20(2):154-157
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Nonsurgical drainage of malignant obstructive jaundice is an interesting alternative to surgical drainage in the palliative treatment of pancreaticobiliary neoplasms. Biliary drainage by endoprosthesis is as effective and better supported than percutaneous external drainage, but more difficult to control. Endoscopic retograde biliary drainage (ERBD) is a safe and effective biliary drainage procedure, and is indicated with malignant obstructive jaundice in patients on whom endoscopic retrograde cholangiopancreatography (ERCP) and endoscopic sphincterotomy (EST) can be performed. A nonoperative method of palliation was used in patients with malignant obstructive jaundice, in whom a biliary endoprosthesis could not be placed endoscopically due to complete obstruction of the bile duct. A guide wire was manipulated through the lesion by a percutaneous transhepatic route, after puncturing the tumor by a fine needle, and retrieved from the duodenum through an endoscope. A stent was then passed through the endoscope over the guide wire across the stricture.
