title: Biliary stenting for malignant jaundice. A district hospital experience.
abstract: Non-surgical management of malignant jaundice is becoming widespread in referral centres and the results are good. We report a retrospective analysis of 46 patients with malignant jaundice who were treated with either endoscopic or combined percutaneous endoscopic biliary stenting in a district general hospital. Out of 46 patients, 24 were stented successfully endoscopically and 19 of the remaining 22 patients were put forward for the combined procedure, and 12 had successful stenting. Eight were managed with palliative bypass surgery and two died. The procedure related mortality was 6.9% and the 30 day mortality was 4.6%. Good palliation of patients with malignant jaundice is achievable in small centres providing there is good radiological and surgical back-up.
authors.affiliation: Department of Medicine, Hinchingbrooke Hospital, Huntingdon, Cambridge.
authors.forename: R A
authors.initials: RA
authors.lastname: Huddart
authors.forename: C S
authors.initials: CS
authors.lastname: Hubbard
authors.forename: R J
authors.initials: RJ
authors.lastname: Dickinson
mesh_terms: D002758:Cholangiography; D002760:Cholangiopancreatography, Endoscopic Retrograde; D002779:Cholestasis / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D004067:Digestive System Neoplasms / Q000150:complications*; D004322:Drainage / Q000295:instrumentation; D005260:Female; D006801:Humans; D008297:Male; D010166:Palliative Care; D012189:Retrospective Studies; D015607:Stents