Todd H. Baron MD, FASGE (Professor of Medicine, Director of Pancreaticobiliary Endoscopy)
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引用次数: 0
摘要
评论:现在有各种各样的自膨胀金属支架(SEMS)可用于治疗胆道梗阻的内镜医师。此外，不同设计和配置的支架越来越多;完全覆盖、未覆盖或部分覆盖的支架;以及支架放置的几种方法。此外，SEMS的临床适应症正在扩大，可能包括良性胆道疾病，以及术前用于可能可切除的恶性疾病。在这篇临床更新中，Todd H. Baron博士回顾了这一主题，重点是金属支架与塑料支架治疗胆道梗阻的临床结果比较研究。此外，Baron博士还讨论了SEMS可能出现的并发症以及如何处理这些并发症。- Richard C. K. Wong，医学博士，FASGE，编辑，俄亥俄州克利夫兰大学医院病例医学中心
Commentary: There now are a wide variety of self-expandable metal stents (SEMS) available to the endoscopist for treatment of biliary obstruction. Furthermore, there is increasing availability of stents with different designs and configurations; stents that are fully covered, uncovered, or partially covered; and several methods of stent deployment. Also, the clinical indications for use of SEMS are expanding to potentially include benign biliary tract disease as well as preoperative usage in potentially resectable malignant disease. In this Clinical Update, Dr Todd H. Baron reviews this topic, focusing on comparative clinical outcome studies of metal vs plastic stents for treatment of biliary obstruction. In addition, Dr Baron discusses possible complications of SEMS and how to manage them.
– Richard C. K. Wong, MD, FASGE, Editor
University Hospitals Case Medical Center, Cleveland, OH
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