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[Evaluation of a biliary endoprosthesis using expandable metallic stents]
T Yoshioka1, T Tamada, H Sakapuchi
1Department of Radiology, Nara Medical University.
Rinsho Hoshasen. Clinical Radiography
|May 1, 1990
Summary
Gianturco self-expanding metallic stents provide an effective treatment for obstructive jaundice, offering significant clinical improvement and relief. This biliary endoprosthesis approach demonstrated a low mortality rate in patients with malignant and benign conditions.
Area of Science:
- Gastroenterology and Hepatology
- Interventional Radiology
Context:
- Obstructive jaundice presents a significant clinical challenge, often requiring invasive procedures for palliation.
- Metallic stents offer a minimally invasive option for restoring biliary drainage.
Purpose:
- To evaluate the efficacy and safety of Gianturco self-expanding metallic stents as biliary endoprostheses for obstructive jaundice.
Summary:
- Twenty-nine patients with obstructive jaundice (27 malignant, 2 benign) received Gianturco metallic stents.
- Successful stent placement was achieved in all cases, allowing for removal of external drainage catheters in most patients.
- The 30-day mortality rate was 7.4%, with 28 patients showing clinical improvement and jaundice relief. Recurrent jaundice occurred in seven patients, two of whom were successfully treated with additional stents.
Impact:
- Expandable metallic biliary endoprostheses are effective for treating biliary obstruction.
- This approach offers a viable alternative to traditional treatments, improving patient outcomes and quality of life.