Retrograde biliary stenting in patients with pancreatobiliary diseases

I M Sayfutdinov; L E Slavin; A F Galimzianov; R T Zimagulov

doi:10.17816/KMJ2176

Kazan medical journal ›› 2013, Vol. 94 ›› Issue (3) : 311 -315. DOI: 10.17816/KMJ2176

Theoretical and clinical medicine

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Retrograde biliary stenting in patients with pancreatobiliary diseases

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Abstract

Aim. To evaluate the results of retrograde biliary stenting in patients with pancreatobiliary diseases. Methods. In 2008-2012, 85 retrograde biliary stenting procedures were performed in 65 patients (28 men and 37 women) with pancreatobiliary diseases aged 33 to 86 years. Obstructive jaundice was diagnosed in 44 of 65 patients (in 67% of cases), ascending cholangitis - in 14 (21%) patients. Endoscopic biliary stenting was performed in 47 patients with benign pancreatobiliary diseases (chronic and post-surgical pancreatitis, benign common bile duct stricture, Mirizzi syndrome, intradiverticular papilla, common bile duct bile stones) and in 18 patients with malignancies (cancers of pancreas head, bile ducts and papillary cancer). Plastic biliary stents with a (diameter 2.5 to 3.3 mm) were used for stenting. Results. Endoscopic biliary stenting allows to resolve the clinical manifestations of оbstructive jaundice and cholangitis, to eliminate pain, to prevent the development of pancreatitis, to prepare patients for surgery. Serious complications of biliary stenting (stent migration in common bile duct, acute cholangitis) were observed in 5 of 85 procedures (5.9% of cases), and all were resolved after repeated endoscopic intervention. Conclusion. Endoscopic retrograde biliary stenting is a safe and effective treatment option for patients with both benign and malignant pancreatobiliary diseases, it is characterized by low rate of specific complications (5.8%) and had reduced the risk of acute pancreatitis in patients with papillostenosis and stricture of the common bile duct terminal part down to 3%.

Keywords

endoscopic biliary stenting / obstructive jaundice / pancreatobiliary diseases

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I M Sayfutdinov, L E Slavin, A F Galimzianov, R T Zimagulov. Retrograde biliary stenting in patients with pancreatobiliary diseases. Kazan medical journal, 2013, 94(3): 311-315 DOI:10.17816/KMJ2176

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References

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[1]	Бурдюков М.С., Нечипай А.М., Юричев И.Н. и др. Новые малоинвазивные способы восстановления внутреннего желчеоттока в онкологической практике // Клин. эндоскоп. -2010. - №1. - С. 2-11.

[2]	Котовский А.Е., Глебов К.Г. Эндоскопическое транспапиллярное стентирование жёлчных протоков // Анн. хир. гепатол. - 2008. - Т. 13, №1. - С. 66-71.

[3]	Кулезнева Ю.В., Израилов P.E., Капустин В.И. Чрескожная декомпрессия жёлчных протоков при механической желтухе опухолевого генеза // Москов. хир. ж. - 2010. - №2. - С. 45-51.

[4]	Малярчук В.И., Базилевич Ф.В., Абашидзе З.Ш. и др. Предоперационное дренирование в лечении больных с опухолевой обтурацией жёлчных путей // Анн. хир. гепатол. - 2008. - Т. 8, №2. - С. 170.

[5]	Хрусталёва М.В. Современные эндоскопические транспапиллярные методы лечения механической желтухи // Анналы НЦХ РАМН, 1997. - С. 39-42.

[6]	Шаповальянц С.Г., Паньков А.Г., Мыльников А.Г. и др. Возможности эндоскопического билиодуоденального протезирования в лечении опухолевых и рубцовых стриктур внепеченочных жёлчных протоков // РЖГГК. - 2008. - Т. 18, №6. - С. 57-63.

[7]	Юрченко В.Г. Назобилиарное дренирование в гепатобилиарной хирургии // Сибир. мед. ж. - 2006. - Т. 59, №1. - С. 27-30.

[8]	Dumonceau J.-M. Biliary stenting: indications, choice of stents and results. European Society of Gastrointestinal Endoscopy (ESGE) clinical guideline // Endoscopy. - 2012. - Vol. 44. - Р. 277-298.

[9]	Nguyen-Tang T., Dumonceau J.-M. Endoscopic treatment in chronic pancreatitis, timing, duration and type of intervention // Best Pract. Res. Clin. Gastroenterol. - 2010. - Vol. 24. - Р. 281-298.

[10]	Morgan D.E. Endoscopic stent therapy in advanced chronic pancreatitis: relationships between ductal changes, clinical response, and stent patency // Am. J. Gastroenterol. - 2003. - Vol. 98. - Р. 821-826.

[11]	Shepherd H.A., Royle G., Ross A.P. et al. Endoscopic biliary endoprosthesis in the palliation of malignant obstruction of the distal common bile duct: a randomized trial // Br. J. Surg. - 1988. - Vol. 75. - Р. 1166-1168.

[12]	Van der Gaag N.A., Rauws E.A.J., van Eijck C.H.J. et al. Preoperative biliary drainage for cancer of the head of the pancreas // N. Engl. J. Med. - 2010. - Vol. 362. - Р. 129-137.