title: [Malignant obstructive jaundice: the role of percutaneous metallic stents].
abstract: 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.
authors.affiliation: Service de Radiologie Générale, Hôpital Guillaume-et-René Laennec, Nantes.
authors.forename: A
authors.initials: A
authors.lastname: D'alincourt
authors.forename: A
authors.initials: A
authors.lastname: Hamy
authors.forename: C
authors.initials: C
authors.lastname: Thibaud
authors.forename: H
authors.initials: H
authors.lastname: Redon
authors.forename: J
authors.initials: J
authors.lastname: Paineau
authors.forename: F
authors.initials: F
authors.lastname: Lerat
mesh_terms: 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
chemical_list: D008670:Metals