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Indagine sulla struttura e diffusione dell' aggiornamento professionale nell' ambito della chirurgia generale. Correlazione con il programma ministeriale di Educazione Continua in Medicina
La formazione del chirurgo in Italia: borsa di studio o contratto di formazione-lavoro: quali le differenze?
Duodenal obstruction by self-expanding biliary stents in patients with pancreatic cancer.
Abstract
Self-expanding biliary drains seem to allow long-term patency and prevent stent migration in peri-ampullary neoplastic lesions. We report two cases of duodenal occlusions due to the stent advancing towards the intestinal lumen in patients with tumours of the pancreatic head. The stents had been percutaneously positioned after an endoscopic papillotomy or palliative choledocho-jejunostomy and were impacted by alimentary debris, blocking the passage of food. Dislodgement of the metallic mesh, in conjunction with duodenal wall stiffness and reduced absorption ability due to the pancreatic cancer, can give rise to progressive intestinal occlusion
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