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- Title
Long-term follow-up in patients with malignant biliary obstruction after percutaneous placement of uncovered wallstent endoprostheses.
- Authors
Kaskarelis, I.S.; Papadaki, M.G.; Papageorgiou, G.N.; Limniati, M.D.; Malliaraki, N.E.; Piperopoulos, P.N.
- Abstract
<bold>Purpose: </bold>Evaluation of the treatment of malignant obstructive jaundice by percutaneous insertion of uncovered stents.<bold>Material and Methods: </bold>51 patients (35 men, 16 women) with inoperable malignant biliary obstruction underwent percutaneous placement of uncovered Wallstent biliary endoprostheses. A total of 65 endoprostheses were inserted.<bold>Results: </bold>The technical success rate was 98%, and the procedure-related complications rate was 10%. Early complications rate within the first 30 days was 2%. The clinical success rate within the first 30 days was 98% and the 30-day mortality rate was 2%. The late complications rate was 16%. The overall stent occlusion rate was 18% at a mean of 288.4 days. Mean survival time of the 50 patients was 214 days, and the mean total duration of hospital stay was 9.8 days.<bold>Conclusions: </bold>The advantages of uncovered Wallstent endoprostheses justify their placement in patients with inoperable malignant obstructive jaundice since patients' quality of life is markedly improved. Stent insertion is associated with a low complication rate, most stents remain patent longer than the patients' survival time and patients' hospital stay is relatively short.
- Subjects
OBSTRUCTIVE jaundice; SURGICAL stents; DRUG efficacy; THERAPEUTICS; TUMOR diagnosis; CHOLANGIOGRAPHY; CHOLESTASIS; COMPARATIVE studies; LENGTH of stay in hospitals; LONGITUDINAL method; RESEARCH methodology; MEDICAL cooperation; PALLIATIVE treatment; RESEARCH; SURVIVAL; TUMORS; EVALUATION research; TREATMENT effectiveness; RETROSPECTIVE studies; DISEASE complications
- Publication
Acta Radiologica, 1999, Vol 40, Issue 5, p528
- ISSN
0284-1851
- Publication type
journal article
- DOI
10.3109/02841859909175579