Analysis of the clinical effect of biliary-enteric anastomosis and biliary stent to palliative treatment of malignant obstructive jaundice
10.3760/cma.j.issn.1673-4904.2014.29.014
- VernacularTitle:胆肠吻合与胆道支架姑息性治疗恶性梗阻性黄疸的临床效果分析
- Author:
Bin FAN
;
Jiayao ZHANG
;
Yong ZHANG
;
Jinmao LI
;
Jun DING
;
Wei LI
;
Jian ZHANG
- Publication Type:Journal Article
- Keywords:
Jaundice,obstructive;
Palliative care;
Biliary stent;
Biliary-enteric anastomosis
- From:
Chinese Journal of Postgraduates of Medicine
2014;37(29):44-46
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the clinical effect of biliary-enteric anastomosis and biliary stent to palliative treatment of malignant obstructive jaundice.Methods A total of 40 patients with inoperable malignant obstructive jaundice were enrolled in this study,and 20 patients were performed biliary stent placement (stent group),simultaneously 20 patients were performed biliary-enteric anastomosis (operation group).The fatality rate after operation,the level of total bilirubin before treatment and after treatment for 4,7,14 d,the rate of hyperpyrexia,nausea and vomiting,postoperative recurrence of jaundice were compared between two groups.Results There were no dead in two groups.The level of total bilirubin was decreased after treatment,and there was no significant in two groups before treatment and after treatment for 4,7,14 d (P ＞ 0.05).The rate of hyperpyrexia in operation group was significantly lower than that in stent group (0 vs.4/20) (P ＜ 0.05).Conclusion For palliative treatment of malignant obstructive jaundice,the biliary-enteric anastomosis should be performed first if there is no significant contraindication.
