Affiliation:
1. Department of Radiology, Evangelismos General Hospital, Athens, Greece
Abstract
Purpose: Evaluation of the treatment of malignant obstructive jaundice by percutaneous insertion of uncovered stents. Material and Methods: 51 patients (35 men, 16 women) with inoperable malignant biliary obstruction underwent percutaneous placement of uncovered Wallstent biliary endoprostheses. A total of 65 endoprostheses were inserted. Results: the technical success rate was 98%, and the procedure-related complications rate was 10%. Early complications rate within the first 30 days was 2%. the clinical success rate within the first 30 days was 98% and the 30-day mortality rate was 2%. the late complications rate was 16%. the overall stent occlusion rate was 18% at a mean of 288.4 days. Mean survival time of the 50 patients was 214 days, and the mean total duration of hospital stay was 9.8 days. Conclusions: the advantages of uncovered Wallstent endoprostheses justify their placement in patients with inoperable malignant obstructive jaundice since patients' quality of life is markedly improved. Stent insertion is associated with a low complication rate, most stents remain patent longer than the patients' survival time and patients' hospital stay is relatively short.
Subject
Radiology, Nuclear Medicine and imaging,General Medicine,Radiological and Ultrasound Technology
Cited by
31 articles.
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