[Self-expandable metallic biliary endoprosthesis in malignant obstructive jaundice]. / Endoprótesis metálicas biliares autoexpandibles en ictericia obstructiva maligna.
Rev Gastroenterol Mex
; 70(3): 247-52, 2005.
Article
em Es
| MEDLINE
| ID: mdl-17063779
BACKGROUND: Implantation of metallic stents for malignant biliary strictures has been recognized to be effective alternatives. AIM: To show our experience in metallic stents for palliation of malignant biliary strictures. PATIENTS AND METHODS: Seventy three patients (38 males, 35 females, mean age 64.26) with malignant biliary strictures have been treated by implantation of metallic stents. Causes of obstruction were pancreatic carcinoma (23/73, 31.5%), bile duct carcinoma (31/73, 42.5%), carcinoma of ampula of Vater (11/73, 15%) and Klatskin tumor (3/73, 4.1%). RESULTS: Endoscopic procedure was successful in all cases. Neither procedure-related morbidity nor mortality was observed. Life surviving curve was 9 months and showed significant difference (p < 0.0071) in patients with carcinoma of ampula of Vater. CONCLUSION: Self-expanding metal endoprosthesis is a recognized method of palliation in malignant biliary obstruction. It efficiently relieves jaundice and generally improves comfort and nutritional status during the patient's remaining lifetime. The metallic stents are advantageous in patients surviving 6 months or less.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Stents
/
Icterícia Obstrutiva
Tipo de estudo:
Etiology_studies
Limite:
Adult
/
Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
Es
Revista:
Rev Gastroenterol Mex
Ano de publicação:
2005
Tipo de documento:
Article
País de publicação:
México