[Palliation of malignant bile duct obstruction with metallic stent-clinical effectiveness in aged patients].
To evaluate the clinical effectiveness of metallic stent in the palliation of malignant bile duct obstruction in aged patients, 30 patients over 65 years of age with malignant biliary obstruction were investigated retrospectively. Overall survival duration after the stent placement was 13-1,275 (mean: 278, median: 169) days. The period of tube-free on the outpatient basis after stent insertion was 0-1,162 (mean: 192, median: 121) days. The estimated cost savings by eliminating hospitalization was greater than the stent cost. Four patients survived over 18 months despite their advanced clinical stages. It seems difficult to develop guidelines for the indication of stent placement in the treatment of malignant bile duct obstruction for aged patients.
Fujita
Makoto
M
Dept of Radiology, Nishinomiya Municipal Central Hospital.
Takeuchi
Noriyuki
N
Sakon
Masato
M
Niinobu
Takahiro
T
Higaki
Naozumi
N
Hayashida
Hiroto
H
Amano
Masahiro
M
Nishikawa
Yasuaki
Y
Nakagawa
Sumiko
S
Itani
Yutaka
Y
Ogawa
Hiroyuki
H
Oohata
Hiroyuki
H
Enomoto
Hirayuki
H
Yoshida
Kenya
K
D000368:Aged; D000369:Aged, 80 and over; D001661:Biliary Tract Neoplasms / Q000150:complications*; D002779:Cholestasis / Q000401:mortality / Q000628:therapy*; D005260:Female; D006801:Humans; D008297:Male; D010166:Palliative Care / Q000379:methods; D012189:Retrospective Studies; D015607:Stents / Q000191:economics