Treatment of hilar carcinoma by bile drainage combined with internal radiotherapy using 192iridium wire
Eighteen patients with a cholangiocarcinoma involving the hilum of the liver, and one patient with a carcinoma of the gall bladder causing obstruction of the common hepatic duct, have been treated with bile drainage using a U‐tube (8 patients) or a percutaneous transhepatic catheter (11 patients) fo...
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Veröffentlicht in: | British journal of surgery 1983-12, Vol.70 (12), p.733-735 |
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container_title | British journal of surgery |
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creator | Fletcher, M. S. Brinkley, Diana Dawson, J. L. Nunnerley, Heather Williams, R. |
description | Eighteen patients with a cholangiocarcinoma involving the hilum of the liver, and one patient with a carcinoma of the gall bladder causing obstruction of the common hepatic duct, have been treated with bile drainage using a U‐tube (8 patients) or a percutaneous transhepatic catheter (11 patients) followed by internal radiotherapy with 192iridium wire. The median survival is 11 months, and 9 patients (47 per cent) have survived for 12 months or longer. The addition of internal radiotherapy may be beneficial to patients with hilar cholangiocarcinoma causing biliary obstruction in whom bile drainage can be established. |
doi_str_mv | 10.1002/bjs.1800701213 |
format | Article |
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The addition of internal radiotherapy may be beneficial to patients with hilar cholangiocarcinoma causing biliary obstruction in whom bile drainage can be established.</description><identifier>ISSN: 0007-1323</identifier><identifier>EISSN: 1365-2168</identifier><identifier>DOI: 10.1002/bjs.1800701213</identifier><identifier>PMID: 6315122</identifier><identifier>CODEN: BJSUAM</identifier><language>eng</language><publisher>Bristol: John Wiley & Sons, Ltd</publisher><subject>Adenoma, Bile Duct - radiotherapy ; Adenoma, Bile Duct - surgery ; Adenoma, Bile Duct - therapy ; Adult ; Aged ; Bile Duct Neoplasms - radiotherapy ; Bile Duct Neoplasms - surgery ; Bile Duct Neoplasms - therapy ; Bile Ducts, Intrahepatic - surgery ; Biological and medical sciences ; Brachytherapy ; Cholestasis, Intrahepatic - surgery ; Combined Modality Therapy ; Drainage - methods ; Female ; Gastroenterology. Liver. Pancreas. Abdomen ; Humans ; Iridium - therapeutic use ; Liver. Biliary tract. Portal circulation. 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S.</creatorcontrib><creatorcontrib>Brinkley, Diana</creatorcontrib><creatorcontrib>Dawson, J. L.</creatorcontrib><creatorcontrib>Nunnerley, Heather</creatorcontrib><creatorcontrib>Williams, R.</creatorcontrib><title>Treatment of hilar carcinoma by bile drainage combined with internal radiotherapy using 192iridium wire</title><title>British journal of surgery</title><addtitle>Br J Surg</addtitle><description>Eighteen patients with a cholangiocarcinoma involving the hilum of the liver, and one patient with a carcinoma of the gall bladder causing obstruction of the common hepatic duct, have been treated with bile drainage using a U‐tube (8 patients) or a percutaneous transhepatic catheter (11 patients) followed by internal radiotherapy with 192iridium wire. The median survival is 11 months, and 9 patients (47 per cent) have survived for 12 months or longer. The addition of internal radiotherapy may be beneficial to patients with hilar cholangiocarcinoma causing biliary obstruction in whom bile drainage can be established.</description><subject>Adenoma, Bile Duct - radiotherapy</subject><subject>Adenoma, Bile Duct - surgery</subject><subject>Adenoma, Bile Duct - therapy</subject><subject>Adult</subject><subject>Aged</subject><subject>Bile Duct Neoplasms - radiotherapy</subject><subject>Bile Duct Neoplasms - surgery</subject><subject>Bile Duct Neoplasms - therapy</subject><subject>Bile Ducts, Intrahepatic - surgery</subject><subject>Biological and medical sciences</subject><subject>Brachytherapy</subject><subject>Cholestasis, Intrahepatic - surgery</subject><subject>Combined Modality Therapy</subject><subject>Drainage - methods</subject><subject>Female</subject><subject>Gastroenterology. Liver. Pancreas. Abdomen</subject><subject>Humans</subject><subject>Iridium - therapeutic use</subject><subject>Liver. Biliary tract. Portal circulation. Exocrine pancreas</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Other diseases. Semiology</subject><subject>Radioisotopes - therapeutic use</subject><issn>0007-1323</issn><issn>1365-2168</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1983</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkc1v1DAQxS0EKtvSKzckHxC3tB7b-TpCCy2lKqAWOFr-mOy6JM5iJ2r3v6_Rrran8fj93kgzj5C3wE6AMX5q7tMJNIzVDDiIF2QBoioLDlXzkixY_i9AcPGaHKZ0zxgIVvIDclAJKIHzBVneRdTTgGGiY0dXvteRWh2tD-OgqdlQ43ukLmof9BKpHQfjAzr64KcV9WHCGHRPo3Z-nFYY9XpD5-TDkkLLffTOz0NmI74hrzrdJzze1SPy68vnu7PL4vr7xdezj9eF5VCKQnLtmEFXa1ZZdGVeyQBrG2wtNE7mJ6vKStRgGocs7-1kiZ2VwlQGpOzEEfmwnbuO478Z06QGnyz2vQ44zkk1rJYt5zKD73bgbAZ0ah39oONG7S6T9fc7XSer-y7qYH3aY21Vt7WEjLVb7CHfabOXgan_6aicjnpOR326un3usrfYen2a8HHv1fGvqmpRl-rPzYW6vPn57Ud9_lvdiifLXJIz</recordid><startdate>198312</startdate><enddate>198312</enddate><creator>Fletcher, M. S.</creator><creator>Brinkley, Diana</creator><creator>Dawson, J. L.</creator><creator>Nunnerley, Heather</creator><creator>Williams, R.</creator><general>John Wiley & Sons, Ltd</general><general>Wiley</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>198312</creationdate><title>Treatment of hilar carcinoma by bile drainage combined with internal radiotherapy using 192iridium wire</title><author>Fletcher, M. S. ; Brinkley, Diana ; Dawson, J. L. ; Nunnerley, Heather ; Williams, R.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2153-42ad0bed7a06ced5213b1098e9c18d41090656371b8de0180d45efc43b6b144f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1983</creationdate><topic>Adenoma, Bile Duct - radiotherapy</topic><topic>Adenoma, Bile Duct - surgery</topic><topic>Adenoma, Bile Duct - therapy</topic><topic>Adult</topic><topic>Aged</topic><topic>Bile Duct Neoplasms - radiotherapy</topic><topic>Bile Duct Neoplasms - surgery</topic><topic>Bile Duct Neoplasms - therapy</topic><topic>Bile Ducts, Intrahepatic - surgery</topic><topic>Biological and medical sciences</topic><topic>Brachytherapy</topic><topic>Cholestasis, Intrahepatic - surgery</topic><topic>Combined Modality Therapy</topic><topic>Drainage - methods</topic><topic>Female</topic><topic>Gastroenterology. Liver. Pancreas. Abdomen</topic><topic>Humans</topic><topic>Iridium - therapeutic use</topic><topic>Liver. Biliary tract. Portal circulation. Exocrine pancreas</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Other diseases. Semiology</topic><topic>Radioisotopes - therapeutic use</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Fletcher, M. S.</creatorcontrib><creatorcontrib>Brinkley, Diana</creatorcontrib><creatorcontrib>Dawson, J. L.</creatorcontrib><creatorcontrib>Nunnerley, Heather</creatorcontrib><creatorcontrib>Williams, R.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>British journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Fletcher, M. S.</au><au>Brinkley, Diana</au><au>Dawson, J. L.</au><au>Nunnerley, Heather</au><au>Williams, R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Treatment of hilar carcinoma by bile drainage combined with internal radiotherapy using 192iridium wire</atitle><jtitle>British journal of surgery</jtitle><addtitle>Br J Surg</addtitle><date>1983-12</date><risdate>1983</risdate><volume>70</volume><issue>12</issue><spage>733</spage><epage>735</epage><pages>733-735</pages><issn>0007-1323</issn><eissn>1365-2168</eissn><coden>BJSUAM</coden><abstract>Eighteen patients with a cholangiocarcinoma involving the hilum of the liver, and one patient with a carcinoma of the gall bladder causing obstruction of the common hepatic duct, have been treated with bile drainage using a U‐tube (8 patients) or a percutaneous transhepatic catheter (11 patients) followed by internal radiotherapy with 192iridium wire. The median survival is 11 months, and 9 patients (47 per cent) have survived for 12 months or longer. The addition of internal radiotherapy may be beneficial to patients with hilar cholangiocarcinoma causing biliary obstruction in whom bile drainage can be established.</abstract><cop>Bristol</cop><pub>John Wiley & Sons, Ltd</pub><pmid>6315122</pmid><doi>10.1002/bjs.1800701213</doi><tpages>3</tpages></addata></record> |
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subjects | Adenoma, Bile Duct - radiotherapy Adenoma, Bile Duct - surgery Adenoma, Bile Duct - therapy Adult Aged Bile Duct Neoplasms - radiotherapy Bile Duct Neoplasms - surgery Bile Duct Neoplasms - therapy Bile Ducts, Intrahepatic - surgery Biological and medical sciences Brachytherapy Cholestasis, Intrahepatic - surgery Combined Modality Therapy Drainage - methods Female Gastroenterology. Liver. Pancreas. Abdomen Humans Iridium - therapeutic use Liver. Biliary tract. Portal circulation. Exocrine pancreas Male Medical sciences Middle Aged Other diseases. Semiology Radioisotopes - therapeutic use |
title | Treatment of hilar carcinoma by bile drainage combined with internal radiotherapy using 192iridium wire |
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