Percutaneous self-expandable metallic stents and malignant biliary strictures.
Thirty-five patients with malignant obstructive jaundice received palliative treatment using percutaneous self-expandable metallic stents. Cholangiocarcinoma was the most frequent cause of the biliary obstruction. In more than 50% of cases, the stricture was located in the hilum. Adequate biliary drainage was achieved in 97% of cases. Median survival was 182 days, and 11% of patients died within 30 days. Early complications occurred in 31% of patients, and 25% of patients showed recurrent jaundice after an average of 180 days. Percutaneous self-expandable metallic stents are an efficient means of palliatively treating malignant biliary strictures, particularly high biliary obstructions.
Hamy
A
A
Department of Radiology, Hôpital GR Laënnec, Nantes, France.
d'Alincourt
A
A
Paineau
J
J
Lerat
F
F
Gibaud
H
H
Leborgne
J
J
Visset
J
J
D000368:Aged; D000369:Aged, 80 and over; D001650:Bile Duct Neoplasms / Q000150:complications* / Q000401:mortality / Q000601:surgery*; D001662:Biliary Tract Surgical Procedures / Q000295:instrumentation*; D002779:Cholestasis / Q000209:etiology / Q000401:mortality / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010166:Palliative Care; D011183:Postoperative Complications; D012008:Recurrence; D015607:Stents; D016019:Survival Analysis; D016896:Treatment Outcome