Prothèses biliaires et pancréatiques : indications, résultats et techniques View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2014-10

AUTHORS

R. Laugier, B. Védrenne

ABSTRACT

Les prothèses biliaires et pancréatiques sont utilisées dans de multiples indications au premier rang desquelles les sténoses biliaires bénignes ou malignes et les sténoses du Wirsung essentiellement dans le cadre des pancréatites chroniques. Les fistules biliaires et les volumineux calculs impossibles à extraire en une seule séance sont d’autres indications possibles. Les cancers du pancréas et de la voie biliaire principale sont une indication de stents métalliques. Cette indication est absolue en cas de situation palliative, mais la pose d’un stent métallique peut être licite en situation préopératoire sous certaines conditions. Les sténoses du hile posent des problèmes spécifiques. Les sténoses bénignes sont couramment traitées par des prothèses plastiques multiples. Des travaux récents suggèrent une efficacité équivalente des stents métalliques totalement couverts. Les sténoses du Wirsung dans le cadre d’une pancréatite chronique sont accessibles à un traitement par une ou plusieurs prothèses plastiques. Quelques travaux récents suggèrent une efficacité des stents métalliques totalement couverts dans cette indication qui reste à évaluer plus précisément. Lorsque la voie d’abord rétrograde n’est pas possible, l’abord transgastrique ou transbulbaire sous guidage échoendoscopique est une option dont la place par rapport à l’abord percutané reste à définir. More... »

PAGES

312-318

References to SciGraph publications

Journal

TITLE

Acta Endoscopica

ISSUE

5

VOLUME

44

Author Affiliations

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s10190-014-0412-y

DOI

http://dx.doi.org/10.1007/s10190-014-0412-y

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1006772522


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55 schema:description Les prothèses biliaires et pancréatiques sont utilisées dans de multiples indications au premier rang desquelles les sténoses biliaires bénignes ou malignes et les sténoses du Wirsung essentiellement dans le cadre des pancréatites chroniques. Les fistules biliaires et les volumineux calculs impossibles à extraire en une seule séance sont d’autres indications possibles. Les cancers du pancréas et de la voie biliaire principale sont une indication de stents métalliques. Cette indication est absolue en cas de situation palliative, mais la pose d’un stent métallique peut être licite en situation préopératoire sous certaines conditions. Les sténoses du hile posent des problèmes spécifiques. Les sténoses bénignes sont couramment traitées par des prothèses plastiques multiples. Des travaux récents suggèrent une efficacité équivalente des stents métalliques totalement couverts. Les sténoses du Wirsung dans le cadre d’une pancréatite chronique sont accessibles à un traitement par une ou plusieurs prothèses plastiques. Quelques travaux récents suggèrent une efficacité des stents métalliques totalement couverts dans cette indication qui reste à évaluer plus précisément. Lorsque la voie d’abord rétrograde n’est pas possible, l’abord transgastrique ou transbulbaire sous guidage échoendoscopique est une option dont la place par rapport à l’abord percutané reste à définir.
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