[Malignant obstructive jaundice: the role of percutaneous metallic stents].
OBJECTIVE
Efficiency evaluation of percutaneous metallic stents in palliative treatment of malignant biliary obstruction.


METHODS
One hundred sixteen percutaneous metallic stents were implanted in 80 patients with malignant biliary obstruction. Thirty-five patients had hilar obstruction, 32 patients obstruction of the common bile duct and 12 patients obstruction of a bilioenteric anastomosis.


RESULTS
Adequate biliary drainage was achieved in 79 patients. Early complications occurred in 23.75% of patients; 12.5% of patients died within 30 days. The procedure-related mortality rate was 5%; 18.75% of patients showed recurrent jaundice after an average of 175 days.


CONCLUSIONS
Percutaneous metallic stents are an efficient means of treating malignant biliary strictures, particularly of upper biliary obstructions. However, this treatment has risks and limits that require careful patient recruitment.
D'alincourt
A
A
Service de Radiologie Générale, Hôpital Guillaume-et-René Laennec, Nantes.
Hamy
A
A
Thibaud
C
C
Redon
H
H
Paineau
J
J
Lerat
F
F
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001652:Bile Ducts / Q000503:physiopathology; D002758:Cholangiography; D002779:Cholestasis / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008670:Metals; D008875:Middle Aged; D009369:Neoplasms / Q000150:complications*; D015607:Stents; D016896:Treatment Outcome
D008670:Metals