Nasobiliary Drain Diverted through a Percutaneous Endoscopic Gastrostomy Tube: A Novel Approach to Nasobiliary Drainage

Intractable pruritus is a common, debilitating symptom and a well-defined entity occurring in chronic cholestatic disorders. Treatment options include cholestyramine, rifampicin, naltrexone, gabapentin, and sertraline, as well as more interventional measures, such as plasmapheresis, extracorporeal a...

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Autores principales:	Nikolaos Dimitrios Pantzaris, Tim Lord, Robyn Sotheran, John Hutchinson, Charles Millson
Formato:	article
Lenguaje:	EN
Publicado:	Karger Publishers 2021
Materias:	primary biliary cholangitis pruritus nasobiliary drain biliary drain percutaneous endoscopic gastrostomy Diseases of the digestive system. Gastroenterology RC799-869
Acceso en línea:	https://doaj.org/article/03e79515180e45e9bc172d02e5afb026
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spelling	oai:doaj.org-article:03e79515180e45e9bc172d02e5afb0262021-11-04T14:40:31ZNasobiliary Drain Diverted through a Percutaneous Endoscopic Gastrostomy Tube: A Novel Approach to Nasobiliary Drainage1662-063110.1159/000518057https://doaj.org/article/03e79515180e45e9bc172d02e5afb0262021-10-01T00:00:00Zhttps://www.karger.com/Article/FullText/518057https://doaj.org/toc/1662-0631Intractable pruritus is a common, debilitating symptom and a well-defined entity occurring in chronic cholestatic disorders. Treatment options include cholestyramine, rifampicin, naltrexone, gabapentin, and sertraline, as well as more interventional measures, such as plasmapheresis, extracorporeal albumin dialysis, nasobiliary drains (NBDs), and UVB phototherapy in patients who fail to respond to medical therapy. Despite the limited data, NBD seems to be a highly effective treatment in the relief of refractory cholestatic pruritus. In this article, we present the case of a 73-year-old woman with primary biliary cholangitis and intractable pruritus, refractory to medical treatment. The patient had a complete resolution of her symptoms following an NBD placement, in which, with a novel approach, the nasal end was redirected and exited through a percutaneous endoscopic gastrostomy port, significantly improving her quality of life.Nikolaos Dimitrios PantzarisTim LordRobyn SotheranJohn HutchinsonCharles MillsonKarger Publishersarticleprimary biliary cholangitispruritusnasobiliary drainbiliary drainpercutaneous endoscopic gastrostomyDiseases of the digestive system. GastroenterologyRC799-869ENCase Reports in Gastroenterology, Vol 15, Iss 3, Pp 891-897 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	primary biliary cholangitis pruritus nasobiliary drain biliary drain percutaneous endoscopic gastrostomy Diseases of the digestive system. Gastroenterology RC799-869
spellingShingle	primary biliary cholangitis pruritus nasobiliary drain biliary drain percutaneous endoscopic gastrostomy Diseases of the digestive system. Gastroenterology RC799-869 Nikolaos Dimitrios Pantzaris Tim Lord Robyn Sotheran John Hutchinson Charles Millson Nasobiliary Drain Diverted through a Percutaneous Endoscopic Gastrostomy Tube: A Novel Approach to Nasobiliary Drainage
description	Intractable pruritus is a common, debilitating symptom and a well-defined entity occurring in chronic cholestatic disorders. Treatment options include cholestyramine, rifampicin, naltrexone, gabapentin, and sertraline, as well as more interventional measures, such as plasmapheresis, extracorporeal albumin dialysis, nasobiliary drains (NBDs), and UVB phototherapy in patients who fail to respond to medical therapy. Despite the limited data, NBD seems to be a highly effective treatment in the relief of refractory cholestatic pruritus. In this article, we present the case of a 73-year-old woman with primary biliary cholangitis and intractable pruritus, refractory to medical treatment. The patient had a complete resolution of her symptoms following an NBD placement, in which, with a novel approach, the nasal end was redirected and exited through a percutaneous endoscopic gastrostomy port, significantly improving her quality of life.
format	article
author	Nikolaos Dimitrios Pantzaris Tim Lord Robyn Sotheran John Hutchinson Charles Millson
author_facet	Nikolaos Dimitrios Pantzaris Tim Lord Robyn Sotheran John Hutchinson Charles Millson
author_sort	Nikolaos Dimitrios Pantzaris
title	Nasobiliary Drain Diverted through a Percutaneous Endoscopic Gastrostomy Tube: A Novel Approach to Nasobiliary Drainage
title_short	Nasobiliary Drain Diverted through a Percutaneous Endoscopic Gastrostomy Tube: A Novel Approach to Nasobiliary Drainage
title_full	Nasobiliary Drain Diverted through a Percutaneous Endoscopic Gastrostomy Tube: A Novel Approach to Nasobiliary Drainage
title_fullStr	Nasobiliary Drain Diverted through a Percutaneous Endoscopic Gastrostomy Tube: A Novel Approach to Nasobiliary Drainage
title_full_unstemmed	Nasobiliary Drain Diverted through a Percutaneous Endoscopic Gastrostomy Tube: A Novel Approach to Nasobiliary Drainage
title_sort	nasobiliary drain diverted through a percutaneous endoscopic gastrostomy tube: a novel approach to nasobiliary drainage
publisher	Karger Publishers
publishDate	2021
url	https://doaj.org/article/03e79515180e45e9bc172d02e5afb026
work_keys_str_mv	AT nikolaosdimitriospantzaris nasobiliarydraindivertedthroughapercutaneousendoscopicgastrostomytubeanovelapproachtonasobiliarydrainage AT timlord nasobiliarydraindivertedthroughapercutaneousendoscopicgastrostomytubeanovelapproachtonasobiliarydrainage AT robynsotheran nasobiliarydraindivertedthroughapercutaneousendoscopicgastrostomytubeanovelapproachtonasobiliarydrainage AT johnhutchinson nasobiliarydraindivertedthroughapercutaneousendoscopicgastrostomytubeanovelapproachtonasobiliarydrainage AT charlesmillson nasobiliarydraindivertedthroughapercutaneousendoscopicgastrostomytubeanovelapproachtonasobiliarydrainage
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Nasobiliary Drain Diverted through a Percutaneous Endoscopic Gastrostomy Tube: A Novel Approach to Nasobiliary Drainage

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