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晚期胰头癌病人,行预防性胃肠吻合对可能发生的十二指肠梗阻,是否是一种有价值的姑息性治疗尚不肯定。本研究目的是分析晚期胰头癌病人行十二指肠转流的结果,探讨行预防性胃肠吻合的必要性。材料和方法回顾分析了Erasmus大学医院1980年1月1日至1990年12月31日间所有晚期胰头癌和(?)腹周围癌病人。局部不能切除、有远处转移或两者均有的病人定义为晚期癌。胃肠吻合方法为结肠后、顺蠕动、单层吻合。胆肠转流(BDB)通过手术(胆囊十二指肠吻合、胆总管十二指肠吻合、胆总管空肠吻合)或其它方法(经皮引流、鼻胆引流、胆道支架管引
In patients with advanced pancreatic head cancer, whether prophylactic gastrointestinal anastomosis is a valuable palliative treatment for possible duodenal obstruction is not yet certain. The purpose of this study was to analyze the results of duodenal bypass in patients with advanced pancreatic head cancer and to discuss the need for prophylactic gastroenteric anastomosis. Materials and Methods Patients with advanced pancreatic head cancer and (?) Peri- abdominal cancer were reviewed retrospectively at the Erasmus University Hospital from January 1, 1980 to December 31, 1990. Patients with locally unresectable, distant metastases, or both are defined as advanced cancer. Gastrointestinal anastomosis is postcolonic, smooth peristaltic, single layer anastomosis. Biliary diarrhea (BDB) through surgery (gallbladder duodenal anastomosis, common bile duct duodenal anastomosis, common bile duct jejunostomy) or other methods (percutaneous drainage, nasobiliary drainage, biliary stent drainage)