4篇
您的检索式：作者名="Bulajic M."
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| 1 | 多支架治疗慢性重症胰腺炎中难治性胰管狭窄的远期疗效显示文摘Background and Study Aims:Dominant pancreatic duct strictures located in the head of the pancreas in patients with severe chronic pancreatitis are often managed by endoscopic placement of a single plastic stent.Patients with refractory strictures after prolonged stenting require repeated stent replacement or surgical pancreaticojejunostomy.Placement of multiple plastic stents has proved effective in managing postoperative biliary strictures.The aim of this study was to investigate the feasibility,efficacy,and long-term results of multiple stenting of refractory pancreatic strictures in severe chronic pancreatitis.Patients and Methods:19 patients with severe chronic pancreatitis(16 men,three women;mean age 45 years)and with a single pancreatic stent through a refractory dominant stricture in the pancreatic head underwent the following protocol:(i)removal of the single pancreatic stent;(ii)balloon dilation of the stricture;(iii)insertion of the maximum number of stents allowed by the stricture tightness and the pancreatic duct diameter;and(iv)removal of stents after 6 to 12 months.Results:The median number of stents placed through the major or minor papilla was 3,with diameters ranging from 8.5 to 11.5 Fr and length from 4 to 7 cm.Only one patient(5.5%)had persistent stricture after multiple stenting.During a mean follow-up of 38 months after removal,84%of patients were asymptomatic,and 10.5%had symptomatic stricture recurrence.No major complications were recorded.Conclusion:Endoscopic multiple stenting of dominant pancreatic duct strictures in chronic pancreatitis is a feasible and safe technique.Multiple pancreatic stenting is promising in obtaining persistent stricture dilation on long-term follow-up in the setting of severe chronic pancreatitis. | Costamagna G. Bulajic M. Tringali A. 孟欣颖 | 2006 | 世界核心医学期刊文摘(胃肠病学分册)2006，2，9： | 2 |
| 2 | Multiple Stenting of Refractory Pancreatic Duct Strictures in Severe Chronic Pancreatitis: Long-term Results显示文摘 | G. Costamagna M. Bulajic A. Tringali M. Pandolfi A. Gabbrielli C. Spada L. Petruzziello P. Familiari M. Mutignani | 2006 | Endoscopy2006，，03： | 1 |
| 3 | Endoskopischer Ultraschall für die Differenzialdiagnose von L?sionen des Zw?lffingerdarms显示文摘 | A. Pavlovic Markovic T. R?sch T. Alempijevic M. Krstic D. Tomic P. Dugalic A. Sokic Milutinovic M. Bulajic | 2012 | Ultraschall in Med2012，，07： | 1 |
| 4 | 经内镜取出发生故障的胆管自扩式金属内支架显示文摘Background: Endoscopic removal of malfunctioning self-expandable metallic biliary stents (SEMS) is difficult and not well described. The aim of this study is to review the indications, the techniques, and the results of SEMS removal in a cohort of patients with malfunctioning stents. Methods: All patients who underw ent an attempt at endoscopic removal of biliary SEMS over a 5-year period were retrospectively identified. The main indications for SEMSremovalwere the followi ng: distal migration of the stent or impaction to the duodenum, impaction into t he bile-duct wall, tissue ingrowth, and inappropriate length of the stent causi ng occlusion of intrahepatic ducts. SEMS were removed by using foreign-body for ceps or polypectomy snares. Results: Endoscopic removal of 39 SEMS (13 uncovered and 26 covered) was attempted in 29 patients (17 men; mean age, 66 years). SEMS extraction was attempted after a mean of 7.5 months (8.75 months standard devia tion) post-SEMS insertion. Removal was successful in 20 patients (68.9%) and i n 29 SEMS (74.3%). Covered SEMS were effectively removed more frequently than u ncovered ones: 24 of 26 (92.3%) and 5 of 13 (38.4%), respectively (p < 0.05). No major complications were recorded. Multivariate analysis showed that the time interval between insertion and removal, SEMS length, stent-mesh design (zigzag vs. interlaced), and indication for removal were no t predictive of success at stent removal. Conclusions: Endoscopic removal of bil iary SEMS is feasible and safe in more than 70%of cases. Because only 38%of un covered SEMS were removable, the presence of a stent covering is the only factor predictive of successful stent extraction. The presence of diffuse and severe i ngrowth was the main feature limiting SEMS removal. | Familiari P Bulajic M Mutignani M. G. Costamagna 尹勇 | 2006 | 世界核心医学期刊文摘(胃肠病学分册)2006，0，4： | 0 |
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