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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
6
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pubmed:dateCreated |
1991-2-26
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pubmed:abstractText |
The problems encountered in draining the bile ducts endoscopically in 148 patients with malignant obstruction of the mid or distal common bile duct and/or the papilla were assessed. Endoscopically visible extrinsic invasion of the papilla by a malignancy in the pancreatic head, with or without duodenal stenosis, appeared to be the major reason for the failure to insert a stent. The larger a tumor in the pancreatic head the greater the chance of invasion of the papillary region. This appeared to be evident for tumors restricted to the non-uncinate region of the pancreatic head. We would recommend primary percutaneous biliary drainage or surgery when the size of a proven malignancy restricted to the non-uncinate region of the pancreatic head is 5 cm or more, or when diagnostic duodenoscopy reveals extrinsic invasion of the papilla of Vater, or severe duodenal involvement with stenosis.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Nov
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pubmed:issn |
0013-726X
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
22
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
259-62
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:2176972-Adenoma, Bile Duct,
pubmed-meshheading:2176972-Adult,
pubmed-meshheading:2176972-Aged,
pubmed-meshheading:2176972-Aged, 80 and over,
pubmed-meshheading:2176972-Bile Duct Neoplasms,
pubmed-meshheading:2176972-Biliary Tract Neoplasms,
pubmed-meshheading:2176972-Cholangiopancreatography, Endoscopic Retrograde,
pubmed-meshheading:2176972-Cholestasis,
pubmed-meshheading:2176972-Common Bile Duct Diseases,
pubmed-meshheading:2176972-Drainage,
pubmed-meshheading:2176972-Endoscopy,
pubmed-meshheading:2176972-Humans,
pubmed-meshheading:2176972-Middle Aged,
pubmed-meshheading:2176972-Pancreatic Neoplasms,
pubmed-meshheading:2176972-Stents
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pubmed:year |
1990
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pubmed:articleTitle |
Malignant common bile duct obstruction: factors influencing the success rate of endoscopic drainage.
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pubmed:affiliation |
Department of Diagnostic Radiology, University Hospital Rotterdam-Dijkzigt, The Netherlands.
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pubmed:publicationType |
Journal Article
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