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[Percutaneous self-expanding metallic endoprosthesis and malignant biliary stenoses]
A d'Alincourt1, F Lerat, H Gibaud
1Hôpital G, Nantes.
Journal De Radiologie
|October 3, 1998
Summary
Self-expanding metallic stents effectively treat malignant biliary strictures, offering adequate drainage in 97% of patients. This palliative approach provides a median survival of 182 days for patients with obstructive jaundice.
Area of Science:
- Interventional Gastroenterology
- Oncology
- Hepatology
Background:
- Malignant obstructive jaundice poses significant challenges in palliative care.
- Cholangiocarcinoma is a frequent cause of biliary obstruction, often located at the hilum.
Purpose of the Study:
- To evaluate the efficacy of percutaneous self-expandable metallic stents in managing malignant biliary strictures.
- To assess outcomes including drainage, survival, and complications.
Main Methods:
- A cohort of 35 patients with malignant obstructive jaundice received palliative treatment.
- Percutaneous self-expandable metallic stents were utilized for biliary drainage.
Main Results:
- Successful biliary drainage was achieved in 97% of patients.
- Median survival was 182 days, with 11% mortality within 30 days.
- Early complications occurred in 31%, and recurrent jaundice in 25% after 180 days.
Conclusions:
- Percutaneous self-expandable metallic stents are an effective treatment for malignant biliary strictures.
- This method is particularly beneficial for upper biliary obstructions.