Abstract | BACKGROUND AND AIM: PATIENTS AND METHODS: RESULTS: Between 2009 and 2013, 40 patients underwent biliary HDR brachytherapy via endoscopically placed NBTs (8.5 - 10 Fr). Patients had a median age of 55 years (range 28 - 68); 25 patients (62.5 %) had primary sclerosing cholangitis. Prior to therapy, 29 patients (72.5 %) had plastic stents, two (5 %) had metal stents, and nine (22.5 %) had no stents. Bilateral NBTs were placed in five patients (12.5 %). NBT/ brachytherapy catheter displacement was seen in eight patients (20 %) - five intraprocedure and three post-procedure. A radiotherapy error and NBT kinking each occurred once. Post-procedure adverse events included: cholangitis (n = 5; 12.5 %), severe abdominal pain (n = 3; 7.5 %), duodenopathy (n = 3; 7.5 %), gastropathy (n = 3; 7.5 %), and both duodenopathy and gastropathy (n = 2; 5 %). CONCLUSION:
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Authors | Saurabh Mukewar, Arjun Gupta, Todd H Baron, Gregory Gores, Keith Furutani, Michael G Haddock, Christopher L Hallemeier |
Journal | Endoscopy
(Endoscopy)
Vol. 47
Issue 10
Pg. 878-83
(Oct 2015)
ISSN: 1438-8812 [Electronic] Germany |
PMID | 25961442
(Publication Type: Journal Article, Multicenter Study, Observational Study)
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Copyright | © Georg Thieme Verlag KG Stuttgart · New York. |
Topics |
- Adult
- Aged
- Bile Duct Neoplasms
(diagnosis, therapy)
- Brachytherapy
(methods)
- Catheterization
(methods)
- Cholangiocarcinoma
(diagnosis, therapy)
- Dose-Response Relationship, Radiation
- Endoscopy
(methods)
- Female
- Follow-Up Studies
- Humans
- Klatskin Tumor
(diagnosis, therapy)
- Male
- Middle Aged
- Neoadjuvant Therapy
- Nose
- Retrospective Studies
- Stents
- Treatment Outcome
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