title: A new method for palliation of malignant obstructive jaundice utilizing a peritoneo-venous shunt pump.
abstract: A new simple palliative method for use in malignant obstructive jaundice is presented. This method is particularly effective in the prevention of ascending infections. The method consists of interposing a one-way flow shunt pump (peritoneo-venous shunt pump) between a bile catheter and a jejunal catheter. Four patients were treated with this new method. Jaundice improved significantly in all patients. They had a much better quality of life with no serious complications during the terminal course. This less invasive and safe procedure is preferred for patients who have extrahepatic biliary obstruction due to incurable malignant tumors.
authors.affiliation: Department of Surgery, Kochi Medical School, Japan.
authors.forename: K
authors.initials: K
authors.lastname: Araki
authors.forename: M
authors.initials: M
authors.lastname: Kure
authors.forename: M
authors.initials: M
authors.lastname: Kobayasi
authors.forename: M
authors.initials: M
authors.lastname: Sugito
authors.forename: T
authors.initials: T
authors.lastname: Ogata
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001661:Biliary Tract Neoplasms / Q000150:complications*; D002779:Cholestasis / Q000209:etiology / Q000628:therapy*; D004322:Drainage / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010166:Palliative Care; D010536:Peritoneovenous Shunt / Q000379:methods*; D019736:Prostheses and Implants