[Percutaneous bile drainage in neoplastic obstructive pathology of the biliary tract. Experience of the Hotel-Dieu of France in 100 drainages].
Between 1981 and 1994, a 100 biliary drainages were introduced transhepatically in 71 patients with malignant biliary disease. Eighty-six endoprosthesis were inserted, 6 internal-external drainages and 8 external drainages. Our success rate in catheterization of the stenosis was 97%. The early complication rate was 17% (12/71) most often due to hemorrhage (n = 3), infection (n = 4), duodenal perforation (n = 1), biliary leak (n = 2) and death by septic shock (n = 2). Twenty-nine patients with 39 endoprosthesis had a long-term follow-up. The most common late complication observed was occlusion (15/39, 37%) and migration (1/39, 2.5%). Specific treatment of complications was carried out in 10 of the 29 patients (35%). It is concluded that patients with inoperable malignant obstruction of the bile ducts should be offered an indwelling endoprosthesis whatever their prognosis; an occluded stent can be removed or at least bypassed in nearly all patients, thereby maintaining palliation of symptoms.
Sukkarieh Chelala
A
A
Service de radiodiagnostic de l'Hôtel-Dieu de France. Beyrouth.
Menassa
L
L
Slaba
S
S
Atallah
N
N
D000368:Aged; D001661:Biliary Tract Neoplasms / Q000150:complications*; D002779:Cholestasis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy*; D004322:Drainage / Q000009:adverse effects / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007861:Lebanon; D008297:Male; D011859:Radiography; D015607:Stents