medigraphic.com
ISSN 2218-6719 (Print)

2019, Number 3

<< Back Next >>

Rev Cub de Tec de la Sal 2019; 10 (3)

Malignant injuries of the biliary routes and pancreas treated with endoprothesis from an inclusive approach

Ortega DY, Brizuela QRA, Alfonso CN, Ruiz TJ, García-Menocal HJL, Suárez OJ

Language: Spanish
References: 19
Page: 11-18
PDF size: 411.33 Kb.


ABSTRACT

Introduction: the inoperable biliopancreatic malignant lesions bring undesirable negative effects that affect the quality of life of the oncological patient. Stent placement allows for ductual decompression with satisfactory results in the application of the therapy used through endoscopic retrograde cholangiopancreatography for palliative purposes. Objective: to analyze the different aspects related to the natural evolution of malignant lesions of biliary tract and pancreas in oncological patients treated with endoprosthesis from an inclusive approach. Development: it is necessary that the health personnel do not see patients with biliopancreatic diseases in isolation, despite the anatomical, clinical, physiological and therapeutic management differences, they are integrated by their correlation with blood chemistry, effect of the method palliative used and allows the assessment, interpretation and comparison regarding the evolution of the patient before and after the placement of the stent. Conclusions: in the follow-up of the evolution of the malignant neoplasms, the integration of the interpretation of the images, the presence of signs and symptoms, relation of hemochemical parameters and the therapeutic procedure used, after the placement of endoprosthesis as a treatment is necessary and timely palliative, with ERCP as the modality of choice.


REFERENCES

  1. Castrillón GA, Gómez DV. Obstrucción maligna de la vía biliar: Hallazgos imaginológicos usuales y recientes. Rev Colomb Radiol [Internet]. 2015 [Consultado 13 dic 2018];26(4):4317-27. Disponible en: http://www.webcir.org/revistavirtual/articulos/2016/2_mayo/col/obstruccion_esp.pdf.

  2. Tröger W, Galun D, Reif M, Schumann A, Stanković N, Milićević M. Quality of life of patients with advanced pancreatic cancer during treatment with mistletoe: a randomized controlled trial. Dtsch Arztebl Int [Internet]. 2014 [Consultado 2018 dec 13];111(29-30):493-502. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/PMC4150026/.

  3. Domper-Arnal MJ, Simón-Marco MÁ. Tratamiento endoscópico de las estenosis malignas de la vía biliar. Puesta al día y puntos más relevantes para la práctica clínica habitual. Rev Esp Enferm Dig [Internet]. 2016 [Consultado 13 dic 2018];108(9):568-75. Disponible en: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1130-01082016000900007&nrm=iso.

  4. Akoad M, Jenkins R. Proximal Biliary Malignancy. Surg Clin North Am [Internet]. 2008 [Consultado 2018 dec 13]; 88(6):1409-28. Disponible en: https://www.clinicalkey.es/#!/content/journal/1-s2.0-S003961090800100X.

  5. Gamanagatti S, Singh T, Sharma R, Srivastava DN, Dash NR, Garg PK. Unilobar Versus Bilobar Biliary Drainage: Effect on Quality of Life and Bilirubin Level Reduction. Indian J Palliat Care [Internet]. 2016 [Consultado 2018 dec 13];22(1):50-62. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/PMC4768450/.

  6. Solano S, Zuccón J, Amatller S, Sadir M, Jiordano M, Castrillón M. Guía Práctica de Drenaje Biliar en enfermedad biliopancreática maligna. Córdoba, Italia: Hospital Italiano Córdoba; 2015 [consultado 2018 dic 13]. Disponible en: http://congreso.faardit.org.ar/uploads/2015/poster/2015_626_PE_Abdomen.pdf.

  7. Carrato A, Falcone A, Ducreux M, Valle JW, Parnaby A, Djazouli K, et al. A Systematic Review of the Burden of Pancreatic Cancer in Europe: Real-World Impact on Survival, Quality of Life and Costs. J Gastrointest Cancer [Internet]. 2015 [Consultado 2018 dec 13];46(3):201-11. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/PMC4519613/.

  8. Jimenez M, Andreacchio A. Carcinoma de Vías biliares. Tumor de Klatskin.ol Hospital Santojani, Buenos Aires. Jimenez M, Andreacchio A. Carcinoma de vías biliares. Tumor de Klatskin. Cirugía Digestiva [Internet]. 2009 [Consultado 13 dic 2018];4:1-12. Disponible en: http://www.sacd.org.ar/csesentayseis.pdf.

  9. European Study Group on Cystic Tumours of the Pancreas ESGCTP. European evidence-based guidelines on pancreatic cystic neoplasms. Gut [Internet]. 2018 [Consultado 2018 dec 13];67(5):789-804. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/PMC5890653/.

  10. Ruiz Torres JF. Propuesta de algoritmo y acreditación para el uso de la colangiopancreatografía retrógrada endoscópica en los centros hospitalarios. [Tesis Doctorado].Universidad de Ciencias Médicas, Centro Nacional de Cirugía de Mínimo Acceso: La Habana, Cuba; 2013. Disponible en: http://tesis.sld.cu/index.php?P=DownloadFile&Id=215

  11. Barbier L, Jamal W, Dokmak S, Aussilhou B, Corcos O, Ruszniewski P, et al. Impact of total pancreatectomy: short- and long-term assessment. HPB (Oxford) [Internet]. 2013 [Consulted 2018 dec 13];15(11):882-92. Available from: https://www.ncbi.nlm.nih.gov/pmc/PMC4503286/.

  12. Hutchins GF, Draganov PV. Cystic neoplasms of the pancreas: A diagnostic challenge. World J Gastroenterol [Internet]. 2009 [Consultado 2018 dec 13];15(1):48-54. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2653294/

  13. Barreto G, Shukla PJ, Ramadwar M, Arya S, Shrikhande SV. Cystic tumours of the páncreas. HPB [Internet]. 2007 [Consultado 2018 dec 13];9:259-66. Disponible en: https://onlinelibrary.wiley.com/doi/full/10.1080/13651820701435287

  14. Ortega Dugrot Y, Montes de Oca Megías E, Armenteros Torres MC, Alfonso Contino NC, García-Menocal Hernández JL, Olazabal García EA. Evaluación de la calidad de vida en pacientes con cáncer de esófago tratados con endoprótesis autoexpandibles. AMC [Internet]. 2018 [Consultado 13 dic 2018];22(6):[Aprox. 10 p.]. Disponible en: http://www.revistaamc.sld.cu/index.php/amc/article/view/5875/3259.

  15. Ortega Dugrot Y, Brizuela Quintanilla RA, Alfonso Contino NC, García- Menocal Hernández JL, Ruiz Torrez JF, Morera Pérez M. Evaluation of the Patients Life Quality with Esophageal Cancer Treated with Self-Expanding Stent. Acta Scienti Gastroenterol [Internet]. 2018 [Consultado 2018 dec 13];1 (1):9-12. Disponible en: https://actascientific.com/ASGE/pdf/ASGE-01-0003.pdf

  16. Rao AD, Sugar EA, Chang DT, Goodman KA, Hacker-Prietz A, Rosati LM, et al. Patient-reported outcomes of a multicenter phase 2 study investigating gemcitabine and stereotactic body radiation therapy in locally advanced pancreatic cancer. Pract Radiat Oncol [Internet]. 2016 [Consultado 2018 dec 13];6(6):417-24. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/PMC5572652/.

  17. Serrano PE, Herman JM, Griffith KA, Zalupski MM, Kim EJ, Bekaii-Saab TS, et al. Quality of life in a prospective, multicenter phase 2 trial of neoadjuvant full-dose gemcitabine, oxaliplatin, and radiation in patients with resectable or borderline resectable pancreatic adenocarcinoma. Int J Radiat Oncol Biol Phys [Internet]. 2014 [Consultado 2018 dec 13];90(2):270-7. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/PMC4751588/.

  18. Anwar S, Tan W, Yu J, Hutson A, Javle M, Iyer R. Quality-of-life (QoL) as a predictive biomarker in patients with advanced pancreatic cancer (APC) receiving chemotherapy: results from a prospective multicenter phase 2 trial. J Gastrointest Oncol [Internet]. 2014 [Consultado 2018 dec 13];5(6):433-9. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/PMC4226818/.

  19. Hidalgo Méndez F. Colangiocarcinoma hiliar (tumor de Klatskin). Rev Clin Med Fam [Internet]. 2014 [Consultado 13 dic 2018];7(1):69-72. Disponible en: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1699-695X2014000100013&nrm=iso.




2020     |     www.medigraphic.com