title: [The endoprosthetic management of biliary calculi larger than 20 mm: the long-term results].
abstract: We present our experiences in fifteen high-risk surgical patients, with large bile duct stones, treated with endoscopic home-made biliary stents. We observed good immediate and mediate results in all patients, with a 19.9 months follow-up. In one case, acute cholangitis developed after 25 months and the patient died. Other three died of unrelated causes. None of the patients required surgery. We conclude that endoscopic stenting is a useful procedure in the treatment of large bile duct stones in poor-risk surgical patients.
authors.affiliation: Departamento de Gastroenterología, Hospital General Dr. Manuel Gea González, México, D.F.
authors.forename: A
authors.initials: A
authors.lastname: Farca
authors.forename: G
authors.initials: G
authors.lastname: Rodríguez
authors.forename: F
authors.initials: F
authors.lastname: Mundo
authors.forename: M
authors.initials: M
authors.lastname: Moreno
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D002760:Cholangiopancreatography, Endoscopic Retrograde; D002769:Cholelithiasis / Q000000981:diagnostic imaging / Q000453:epidemiology / Q000628:therapy*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011143:Polyvinyl Chloride; D011446:Prospective Studies; D015607:Stents
chemical_list: D011143:Polyvinyl Chloride
vernacular_title: Manejo con endoprótesis de la litiasis biliar mayor de 20 mm: resultados a largo plazo.