{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,8,8]],"date-time":"2024-08-08T14:40:09Z","timestamp":1723128009212},"reference-count":0,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2000,1,1]],"date-time":"2000-01-01T00:00:00Z","timestamp":946684800000},"content-version":"vor","delay-in-days":2556,"URL":"http:\/\/creativecommons.org\/licenses\/by\/3.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["HPB Surgery"],"published-print":{"date-parts":[[1993,1]]},"abstract":"<jats:p>The introduction of new imaging techniques has markedly improved the diagnosis of hepatobiliary\ndisorders. Due to their anatomic situation, a substantial percentage of malignancies located near the\nhilus is not suitable for surgical management. We discuss an effective palliative intervention to relieve\njaundice. In many instances drainage is a superior choice when biliodigestive anastomoses are not\ntechnically feasible and palliative resection carries a high complication rate.<\/jats:p><jats:p>We present an irrigatable exo\u2010endodrainage method employing a modified port\u2010a\u2010cath system as a\nnew alternative. In four patients, all older than 75 years, this system was implanted because of jaundice\ndue to unresectable malignant stenosis of the extrahepatic bile duct. One patient (80 years old) died of\npre\u2010existing acute necrotizing pancreatitis, although hyperbilirubinemia was found to decrease on the\n7th postoperative day. The other three patients showed complete normalization of their bilirubin levels\nand their port\u2010a\u2010cath systems remained open until their death (at 3 weeks, 6 months and 7 months\nrespectively).<\/jats:p>","DOI":"10.1155\/1993\/87181","type":"journal-article","created":{"date-parts":[[2007,9,13]],"date-time":"2007-09-13T09:19:26Z","timestamp":1189675166000},"page":"25-32","source":"Crossref","is-referenced-by-count":0,"title":["Flushable Exo\u2010Endodrainage: A Modified Palliative Approach to Non\u2010Resectable Malignant BiliaryObstruction"],"prefix":"10.1155","volume":"7","author":[{"given":"M.","family":"Stierer","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H.","family":"Wasl","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H. R.","family":"Rosen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A. P.","family":"Marczell","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H.","family":"Spoula","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[1993,1]]},"container-title":["HPB Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/archive\/1993\/087181.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/1993\/87181","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,8,8]],"date-time":"2024-08-08T14:15:37Z","timestamp":1723126537000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1155\/1993\/87181"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1993,1]]},"references-count":0,"journal-issue":{"issue":"1","published-print":{"date-parts":[[1993,1]]}},"alternative-id":["10.1155\/1993\/87181"],"URL":"https:\/\/doi.org\/10.1155\/1993\/87181","archive":["Portico"],"relation":{},"ISSN":["0894-8569","1607-8462"],"issn-type":[{"type":"print","value":"0894-8569"},{"type":"electronic","value":"1607-8462"}],"subject":[],"published":{"date-parts":[[1993,1]]}}}