Korean Journal of Gastrointestinal Endoscopy 2000;20(2): 154-157.
악성 완전 담도협착에서의 경피적 세침천자술에 의한 경피적 내시경적 담도배액술 ( Percutaneous Endoscopic Biliary Stenting (PEBS) Using the Percutaneous Fine Needle Puncture Method in Malignant Complete Biliary Obstruction )
김헌종(Hun Jong Kim),김진홍(Jin Hong Kim),고광현(Kwang Hyun Ko),한동석(Dong Seok Han),고준호(Jun Ho Ko),유병무(Byung Moo Yoo),함기백(Ki Baik Hahm),조성원(Sung Won Cho)
Abstract
Nonsurgical drainage of malignant obstructive jaundice is an interesting alternative to surgical drainage in the palliative treatment of pancreaticobiliary neoplasms. Biliary drainage by endoprosthesis is as effective and better supported than percutaneous external drainage, but more difficult to control. Endoscopic retograde biliary drainage (ERBD) is a safe and effective biliary drainage procedure, and is indicated with malignant obstructive jaundice in patients on whom endoscopic retrograde cholangiopancreatography (ERCP) and endoscopic sphincterotomy (EST) can be performed. A nonoperative method of palliation was used in patients with malignant obstructive jaundice, in whom a biliary endoprosthesis could not be placed endoscopically due to complete obstruction of the bile duct. A guide wire was manipulated through the lesion by a percutaneous transhepatic route, after puncturing the tumor by a fine needle, and retrieved from the duodenum through an endoscope. A stent was then passed through the endoscope over the guide wire across the stricture.
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