Biomaterial Database

[Care of tumor patients with biliary-duodenal drainage by the family physician. Treatment of extrahepatic biliary obstruction]. 1999

U Gottschalk

Arzt für Innere Medizin/Gastroenterologie, Leiter der gastroenterologischen Klinik, Krankenhaus Prenzlauer Berg, Berlin.

Ambulatory care of patients with tumors of the biliary system and pancreas undergoing bilioduodenal drainage for obstructive jaundice is increasingly being provided by the family doctor in cooperation with an endoscopy center. The greatest risk for the patient is the development of acute cholitis caused by blockage of the endoprosthesis with the need for immediate replacement of the latter. Apart from the clinical examination, laboratory data and ultrasonography are often required to establish the diagnosis and enable an adequate assessment of the bile flow situation to be made. Additional diagnostic procedures (e.g. endosonography and computed tomography) are needed only for the primary diagnostic work-up. The data obtained from our patients show that family doctors are well attuned to the leading symptoms, and that delays in acting on suspected obstruction of the biliary stent rarely occur.

UI	MeSH Term	Description	Entries
D008297	Male		Males
D010190	Pancreatic Neoplasms	Tumors or cancer of the PANCREAS. Depending on the types of ISLET CELLS present in the tumors, various hormones can be secreted: GLUCAGON from PANCREATIC ALPHA CELLS; INSULIN from PANCREATIC BETA CELLS; and SOMATOSTATIN from the SOMATOSTATIN-SECRETING CELLS. Most are malignant except the insulin-producing tumors (INSULINOMA).	Cancer of Pancreas,Pancreatic Cancer,Cancer of the Pancreas,Neoplasms, Pancreatic,Pancreas Cancer,Pancreas Neoplasms,Pancreatic Acinar Carcinoma,Pancreatic Carcinoma,Acinar Carcinoma, Pancreatic,Acinar Carcinomas, Pancreatic,Cancer, Pancreas,Cancer, Pancreatic,Cancers, Pancreas,Cancers, Pancreatic,Carcinoma, Pancreatic,Carcinoma, Pancreatic Acinar,Carcinomas, Pancreatic,Carcinomas, Pancreatic Acinar,Neoplasm, Pancreas,Neoplasm, Pancreatic,Neoplasms, Pancreas,Pancreas Cancers,Pancreas Neoplasm,Pancreatic Acinar Carcinomas,Pancreatic Cancers,Pancreatic Carcinomas,Pancreatic Neoplasm
D002761	Cholangitis	Inflammation of the biliary ductal system (BILE DUCTS); intrahepatic, extrahepatic, or both.	Cholangitides
D002779	Cholestasis	Impairment of bile flow due to obstruction in small bile ducts (INTRAHEPATIC CHOLESTASIS) or obstruction in large bile ducts (EXTRAHEPATIC CHOLESTASIS).	Bile Duct Obstruction,Biliary Stasis,Bile Duct Obstructions,Biliary Stases,Cholestases,Duct Obstruction, Bile,Duct Obstructions, Bile,Obstruction, Bile Duct,Obstructions, Bile Duct,Stases, Biliary,Stasis, Biliary
D004322	Drainage	The removal of fluids or discharges from the body, such as from a wound, sore, or cavity.
D005194	Family Practice	A medical specialty concerned with the provision of continuing, comprehensive primary health care for the entire family.	Family Practices,Practice, Family,Practices, Family
D005260	Female		Females
D006801	Humans	Members of the species Homo sapiens.	Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000553	Ambulatory Care	Health care services provided to patients on an ambulatory basis, rather than by admission to a hospital or other health care facility. The services may be a part of a hospital, augmenting its inpatient services, or may be provided at a free-standing facility.	Outpatient Care,Outpatient Health Services,Clinic Visits,Health Services, Outpatient,Outpatient Services,Services, Outpatient Health,Urgent Care,Care, Ambulatory,Care, Outpatient,Care, Urgent,Cares, Urgent,Clinic Visit,Health Service, Outpatient,Outpatient Health Service,Outpatient Service,Service, Outpatient,Service, Outpatient Health,Services, Outpatient,Urgent Cares,Visit, Clinic,Visits, Clinic
D001661	Biliary Tract Neoplasms	Tumors or cancer in the BILIARY TRACT including the BILE DUCTS and the GALLBLADDER.	Biliary Tract Cancer,Cancer of Biliary Tract,Cancer of the Biliary Tract,Neoplasms, Biliary Tract,Biliary Tract Cancers,Biliary Tract Neoplasm,Cancer, Biliary Tract,Cancers, Biliary Tract,Neoplasm, Biliary Tract