[Endoscopic palliative treatment of the common bile duct at the hepatic hilum. Results in 583 patients treated in a single center over a 10-year period]. / Trattamento palliativo per via endoscopica delle stenosi della via biliare principale all'ilo epatico. Risultati in 583 pazienti trattati in un singolo Centro in 10 anni.
Minerva Chir
; 58(2): 175-9, 2003 Apr.
Article
in It
| MEDLINE
| ID: mdl-12738927
ABSTRACT
BACKGROUND:
The outcomes of endoscopic biliary drainage for malignant stenoses at the hepatic hilum were retrospectively evaluated.METHODS:
From January 1990 to June 2001, 583 patients, 368 males, average age 69+/-18.5 years, were recruited. Endoscopic procedure consisted of insertion of 1 ore multiple stents, plastic or metallic, across the stricture, under mild sedation.RESULTS:
Successful stent insertion was achieved in 518/583 (88.8%) patients and successful drainage in 474 (81.3%) patients. Early complications were observed in 101 (17.3%) patients with related-mortality of 17 (2.9%) patients. Late complications occurred in 39.9% of patients. Survival was of 189 days, on average.CONCLUSIONS:
Endoscopic palliation should be the initial management of choice for malignant biliary stenoses at the hepatic hilum.
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Collection:
01-internacional
Database:
MEDLINE
Main subject:
Palliative Care
/
Cholestasis, Extrahepatic
/
Stents
/
Cholangiopancreatography, Endoscopic Retrograde
/
Common Bile Duct
Type of study:
Etiology_studies
/
Observational_studies
Limits:
Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
Language:
It
Journal:
Minerva Chir
Year:
2003
Document type:
Article
Affiliation country:
Italy