[Combined intraductal and percutaneous radiotherapy of malignant bile duct obstruction with subsequent prosthetic management].
Radiotherapy of the inoperable malignant bile duct obstruction is performed to prolong the survival time in comparison to the palliative drainage. The preferable method is a combination of intracavitary irradiation via a percutaneous transhepatic drainage (30-40 Gy at a distance of 1 cm) and a moving field technique (30-40 Gy). This combination allows a high local tumor dose and a relatively large treatment volume. After radiotherapy, the PTD is being exchanged by a large-bore biliodigestive prosthesis.
Brambs
H J
HJ
Freund
U
U
Bruggmoser
G
G
Wannenmacher
M
M
D000230:Adenocarcinoma / Q000532:radiotherapy*; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001650:Bile Duct Neoplasms / Q000532:radiotherapy* / Q000556:secondary; D001918:Brachytherapy; D001651:Cholestasis, Extrahepatic / Q000532:radiotherapy*; D003131:Combined Modality Therapy; D003138:Common Bile Duct Neoplasms / Q000532:radiotherapy; D004322:Drainage; D005260:Female; D005706:Gallbladder Neoplasms / Q000532:radiotherapy; D006801:Humans; D008297:Male; D008875:Middle Aged; D019736:Prostheses and Implants
Kombinierte intraduktale und perkutane Radiotherapie bei maligner Gallenwegsobstruktion mit anschliessender prothetischer Versorgung.