title: [Palliation of malignant bile duct obstruction with metallic stent-clinical effectiveness in aged patients].
abstract: 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.
authors.affiliation: Dept of Radiology, Nishinomiya Municipal Central Hospital.
authors.forename: Makoto
authors.initials: M
authors.lastname: Fujita
authors.forename: Noriyuki
authors.initials: N
authors.lastname: Takeuchi
authors.forename: Masato
authors.initials: M
authors.lastname: Sakon
authors.forename: Takahiro
authors.initials: T
authors.lastname: Niinobu
authors.forename: Naozumi
authors.initials: N
authors.lastname: Higaki
authors.forename: Hiroto
authors.initials: H
authors.lastname: Hayashida
authors.forename: Masahiro
authors.initials: M
authors.lastname: Amano
authors.forename: Yasuaki
authors.initials: Y
authors.lastname: Nishikawa
authors.forename: Sumiko
authors.initials: S
authors.lastname: Nakagawa
authors.forename: Yutaka
authors.initials: Y
authors.lastname: Itani
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Ogawa
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Oohata
authors.forename: Hirayuki
authors.initials: H
authors.lastname: Enomoto
authors.forename: Kenya
authors.initials: K
authors.lastname: Yoshida
mesh_terms: 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