7 Drenaggio biliare percutaneo Ostruzioni neoplasticheIndicazioniDecompressione pre-operatoriaPalliazione tumori non resecabiliSepsi associata ad ostruzione biliareindicazioni
8 “Pre-operatice biliary drainage is unproven as a routine, but should be done in septic and high risk patients.”Khan SA et al., Gut 2002;51:1-9“ Pre-operative biliary drainage is associated with an increased risk of cholangitis and lengthed postoperative hospital stay, but unrelieved biliary obstruction runs the risk of cholestasis and liver failure.”Anderson D et al., The Oncologist 2004;9:43-57
32 “Stenting procedures resulting in adeguate biliary drainage improves survival.” Khan SA et al., Gut 2002;51:1-9“ Palliative treatment to relieve symptoms, treat sepsis, or normalise bilorubin before chemotherapy or radiotherapy, clearly has an important role. Median survival for non-resectable cholangiocarcinomas is about 3 months without and 6 with biliary drainage.”Lavoro in cui il PTBD riduce le complicanze settiche e prolunga la vitaKhan SA et al., The Lancet 2005;366:
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