title: [Self-expanding and expandable bile duct prostheses].
abstract: The main problem of conventional endoscopic or percutaneous biliary drainage is the clogging of plastic endoprostheses. Therapeutic advances may be achieved by self-expanding or balloon-expandable braided or slit metal stents due to their large lumen and small surface area. Preliminary clinical studies show excellent early results but a divergent long-term clinical outcome depending on the selection of patients, the implantation technique or the type of the stent. If a long-distance overlap of biliary stenoses is achieved the metal stents may be superior to plastic prostheses due to a reduction of the risk of bile encrustation.
authors.affiliation: II. Medizinische Klinik und Poliklinik, Technischen Universität, München.
authors.forename: H
authors.initials: H
authors.lastname: Neuhaus
authors.forename: F
authors.initials: F
authors.lastname: Hagenmüller
authors.forename: M
authors.initials: M
authors.lastname: Classen
mesh_terms: D001650:Bile Duct Neoplasms / Q000601:surgery*; D002779:Cholestasis / Q000601:surgery*; D004724:Endoscopy; D005500:Follow-Up Studies; D006801:Humans; D010166:Palliative Care / Q000295:instrumentation*; D011474:Prosthesis Design; D015607:Stents
vernacular_title: Selbst-expandierende und expandierbare Gallenwegsprothesen.