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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 226 - 234 (9page)
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Malignancies of the pancreatobiliary system are usually unresectable at the time of diagnosis. As a consequence, a majority of thesecases are candidates for palliative care. With advances in chemotherapeutic agents and multidisciplinary care, the survival rate inpancreatobiliary malignancies has improved. Therefore, there is a need to provide an effective and long-lasting palliative care for thesepatients. Endoscopic palliation is preferred to surgery as the former is associated with equal effcacy and reduced morbidity. The mainrole of endoscopic palliation in the vast majority of pancreatobiliary malignancies includes biliary and enteral stenting for malignantobstructive jaundice and gastric outlet obstruction, respectively. Recent advances in endoscopic palliation appear promising inimparting long-lasting relief of symptoms. Use of radiofrequency ablation and photodynamic therapy in malignant biliary obstructionhas been shown to improve the survival rates as well as the patency of biliary stents. The emergence of endoscopic ultrasound (EUS) asa therapeutic tool has enhanced the capability of minimally invasive palliation in pancreatobiliary cancers. EUS is a valuable alternativeto endoscopic retrograde cholangiopancreatography for the palliation of obstructive jaundice. More recently, EUS is emerging as aneffective primary modality for biliary and gastric bypass.
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참고문헌 (77)
참고문헌 신청
Suker M / 2016 / FOLFIRINOX for locally advanced pancreatic cancer : a systematic review and patient-level meta-analysis / Lancet Oncol 17:801~810
Almadi MA / 2017 / Plastic vs. self-expandable metal stents for palliation in malignant biliary obstruction: a series of meta-analyses / Am J Gastroenterol 112:260~273
Walter D / 2017 / Higher quality of life after metal stent placement compared with plastic stent placement for malignant extrahepatic bile duct obstruction : a randomized controlled trial / Eur J Gastroenterol Hepatol 29:231~237
Walter D / 2015 / Cost efficacy of metal stents for palliation of extrahepatic bile duct obstruction in a randomized controlled trial / Gastroenterology 149:130~138
Almadi MA / 2013 / No benefit of covered vs uncovered self-expandable metal stents in patients with malignant distal biliary obstruction : a meta-analysis / Clin Gastroenterol Hepatol 11:27~37
Almadi MA / 2017 / Plastic vs. self-expandable metal stents for palliation in malignant biliary obstruction: a series of meta-analyses / Am J Gastroenterol 112:260~273
Walter D / 2017 / Higher quality of life after metal stent placement compared with plastic stent placement for malignant extrahepatic bile duct obstruction : a randomized controlled trial / Eur J Gastroenterol Hepatol 29:231~237
Walter D / 2015 / Cost efficacy of metal stents for palliation of extrahepatic bile duct obstruction in a randomized controlled trial / Gastroenterology 149:130~138
Almadi MA / 2013 / No benefit of covered vs uncovered self-expandable metal stents in patients with malignant distal biliary obstruction : a meta-analysis / Clin Gastroenterol Hepatol 11:27~37
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