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Article: Expandable metallic biliary stents

TitleExpandable metallic biliary stents
Authors
Issue Date1994
PublisherBlackwell Publishing Asia. The Journal's web site is located at http://www.blackwellpublishing.com/journals/ANS
Citation
Australian And New Zealand Journal Of Surgery, 1994, v. 64 n. 12, p. 836-839 How to Cite?
AbstractEighteen expandable metallic biliary stents were inserted in patients with malignant (16 patients) or benign (two patients) biliary strictures. Four were the Gianturco-Rosch biliary Z-stents and the remaining 14 were the Wallstent. The stents were delivered through either the endoscopic transpapillary (10 patients), percutaneous transhepatic (five patients) or combined percutaneous-endoscopic (three patients) route. No failure in implantation was encountered. Bile drainage was successful in all patients. Stent occlusions were observed in four patients with hilar obstruction due to tumour overgrowth above the stents at 30-67 days (mean 47.75 days) after insertion. The occlusions were drained percutaneously (two patients) or endoscopically (two patients). Migration of stent did not occur. After a median follow-up period of 170.5 days (range 57-731 days), 11 patients were still alive and free of jaundice. The median patency period of the stents for common bile duct and hilar obstruction was 288.5 days (range 117-731 days) and 61.5 days (range 30-188 days), respectively. The overall median patency period was 165 days. It is concluded that expandable metallic biliary stent is a useful adjunct to the treatment of malignant biliary obstructions with a better result in distal obstruction.
Persistent Identifierhttp://hdl.handle.net/10722/172700
ISSN
2003 Impact Factor: 0.874
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorChu, KMen_US
dc.contributor.authorLai, ECSen_US
dc.date.accessioned2012-10-30T06:24:22Z-
dc.date.available2012-10-30T06:24:22Z-
dc.date.issued1994en_US
dc.identifier.citationAustralian And New Zealand Journal Of Surgery, 1994, v. 64 n. 12, p. 836-839en_US
dc.identifier.issn0004-8682en_US
dc.identifier.urihttp://hdl.handle.net/10722/172700-
dc.description.abstractEighteen expandable metallic biliary stents were inserted in patients with malignant (16 patients) or benign (two patients) biliary strictures. Four were the Gianturco-Rosch biliary Z-stents and the remaining 14 were the Wallstent. The stents were delivered through either the endoscopic transpapillary (10 patients), percutaneous transhepatic (five patients) or combined percutaneous-endoscopic (three patients) route. No failure in implantation was encountered. Bile drainage was successful in all patients. Stent occlusions were observed in four patients with hilar obstruction due to tumour overgrowth above the stents at 30-67 days (mean 47.75 days) after insertion. The occlusions were drained percutaneously (two patients) or endoscopically (two patients). Migration of stent did not occur. After a median follow-up period of 170.5 days (range 57-731 days), 11 patients were still alive and free of jaundice. The median patency period of the stents for common bile duct and hilar obstruction was 288.5 days (range 117-731 days) and 61.5 days (range 30-188 days), respectively. The overall median patency period was 165 days. It is concluded that expandable metallic biliary stent is a useful adjunct to the treatment of malignant biliary obstructions with a better result in distal obstruction.en_US
dc.languageengen_US
dc.publisherBlackwell Publishing Asia. The Journal's web site is located at http://www.blackwellpublishing.com/journals/ANSen_US
dc.relation.ispartofAustralian and New Zealand Journal of Surgeryen_US
dc.subject.meshAgeden_US
dc.subject.meshAged, 80 And Overen_US
dc.subject.meshBile Duct Neoplasms - Complicationsen_US
dc.subject.meshCholestasis - Etiology - Therapyen_US
dc.subject.meshDrainageen_US
dc.subject.meshFemaleen_US
dc.subject.meshGallbladder Neoplasms - Complicationsen_US
dc.subject.meshHumansen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshPancreatic Neoplasms - Complicationsen_US
dc.subject.meshStentsen_US
dc.subject.meshStomach Neoplasms - Complicationsen_US
dc.titleExpandable metallic biliary stentsen_US
dc.typeArticleen_US
dc.identifier.emailChu, KM: chukm@hkucc.hku.hken_US
dc.identifier.authorityChu, KM=rp00435en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1111/j.1445-2197.1994.tb04559.x-
dc.identifier.pmid7980257-
dc.identifier.scopuseid_2-s2.0-0027945692en_US
dc.identifier.volume64en_US
dc.identifier.issue12en_US
dc.identifier.spage836en_US
dc.identifier.epage839en_US
dc.identifier.isiWOS:A1994PX05100009-
dc.publisher.placeAustraliaen_US
dc.identifier.scopusauthoridChu, KM=7402453538en_US
dc.identifier.scopusauthoridLai, ECS=55187481800en_US

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