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Reply to Dr. Viroj Wiwanikit.

机译:回复博士Wiwanikit男子。

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We greatly appreciate Dr. Wiwanikit' s valuable comments regarding the benefit of self-expandable metallic stent (SEMS) for malignant biliary obstruction. We would like to reply to his questions as follows. First, quality of life in patients with internal drainage has been shown by our study [1] to be much better than in patients with percutaneous biliary drainage (PTBD) regarding pain, since significant numbers of patients with PTBD required narcotic medications for pain control. We demonstrated that pain requiring oral narcotic developed in 71% (5/7) of our PTBD patients. In addition, metabolic derangement has been described as an important complication that can develop after external drainage [2]. Moreover, patients with plastic stent (PS) who lived long often suffered from PS clogging and cholangitis.
机译:我们非常感谢Wiwanikit博士关于自膨胀金属支架(SEMS)对恶性胆道梗阻的益处的宝贵评论。我们想回答他的问题如下。首先,我们的研究[1]显示内部引流患者的生活质量比经皮胆道引流(PTBD)患者的疼痛要好得多,因为许多PTBD患者需要麻醉药物来控制疼痛。我们证明71%(5/7)的PTBD患者发生了需要口服麻醉药的疼痛。此外,代谢紊乱已被描述为一种重要的并发症,可在外部引流后发生[2]。此外,寿命长的带有塑料支架(PS)的患者经常患有PS阻塞和胆管炎。

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