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Article: Extrahepatic biliary obstruction by metastatic gastric carcinoma

TitleExtrahepatic biliary obstruction by metastatic gastric carcinoma
Authors
KeywordsBiliary obstruction
Gastric carcinoma
Issue Date1998
PublisherLippincott Williams & Wilkins. The Journal's web site is located at http://www.jcge.com
Citation
Journal Of Clinical Gastroenterology, 1998, v. 27 n. 1, p. 63-66 How to Cite?
AbstractForty-one patients with extrahepatic biliary obstruction by metastatic gastric carcinoma underwent retrospective study to determine demographics, clinical features, laboratory findings on presentation, time interval from previous gastrectomy, level of biliary obstruction, methods of palliation, complications from treatment, treatment results, and survival. Thirty-seven patients underwent biliary decompression by percutaneous transhepatic biliary drainage (PTBD) (35 patients), endoscopic insertion of plastic stent (one patient), and operative insertion of T tube (1 patient). The remaining 4 patients had no biliary drainage procedure performed. Subsequently expandable metallic biliary stents were inserted in 9 patients through the PTBD tract. Two patients received postdrainage external irradiation. Reduction in serum total bilirubin was seen in all patients after drainage. Two patients were alive at the time of this analysis. The median survival of these 41 patients was only 70 days. The 6- and 9-month survival rates were 27.0% and 9.7%, respectively. Hemoglobin (p < 0.001) and total bilirubin (p < 0.002) on presentation were found to be independent factors predicting survival. Extrahepatic biliary obstruction by metastatic gastric carcinoma was associated with poor survival. Patients with profound anemia or jaundice on presentation carried the worst prognosis.
Persistent Identifierhttp://hdl.handle.net/10722/83277
ISSN
2015 Impact Factor: 3.163
2015 SCImago Journal Rankings: 1.274
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorChu, KMen_HK
dc.contributor.authorLaw, SYK-
dc.contributor.authorBranicki, FJ-
dc.contributor.authorWong, J-
dc.date.accessioned2010-09-06T08:39:07Z-
dc.date.available2010-09-06T08:39:07Z-
dc.date.issued1998en_HK
dc.identifier.citationJournal Of Clinical Gastroenterology, 1998, v. 27 n. 1, p. 63-66en_HK
dc.identifier.issn0192-0790en_HK
dc.identifier.urihttp://hdl.handle.net/10722/83277-
dc.description.abstractForty-one patients with extrahepatic biliary obstruction by metastatic gastric carcinoma underwent retrospective study to determine demographics, clinical features, laboratory findings on presentation, time interval from previous gastrectomy, level of biliary obstruction, methods of palliation, complications from treatment, treatment results, and survival. Thirty-seven patients underwent biliary decompression by percutaneous transhepatic biliary drainage (PTBD) (35 patients), endoscopic insertion of plastic stent (one patient), and operative insertion of T tube (1 patient). The remaining 4 patients had no biliary drainage procedure performed. Subsequently expandable metallic biliary stents were inserted in 9 patients through the PTBD tract. Two patients received postdrainage external irradiation. Reduction in serum total bilirubin was seen in all patients after drainage. Two patients were alive at the time of this analysis. The median survival of these 41 patients was only 70 days. The 6- and 9-month survival rates were 27.0% and 9.7%, respectively. Hemoglobin (p < 0.001) and total bilirubin (p < 0.002) on presentation were found to be independent factors predicting survival. Extrahepatic biliary obstruction by metastatic gastric carcinoma was associated with poor survival. Patients with profound anemia or jaundice on presentation carried the worst prognosis.en_HK
dc.languageengen_HK
dc.publisherLippincott Williams & Wilkins. The Journal's web site is located at http://www.jcge.comen_HK
dc.relation.ispartofJournal of Clinical Gastroenterologyen_HK
dc.rightsJournal of Clinical Gastroenterology. Copyright © Lippincott Williams & Wilkins.en_HK
dc.subjectBiliary obstructionen_HK
dc.subjectGastric carcinomaen_HK
dc.titleExtrahepatic biliary obstruction by metastatic gastric carcinomaen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0192-0790&volume=27&spage=63&epage=66&date=1998&atitle=Extrahepatic+biliary+obstruction+by+metastatic+gastric+carcinomaen_HK
dc.identifier.emailChu, KM: chukm@hkucc.hku.hken_HK
dc.identifier.authorityChu, KM=rp00435en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1097/00004836-199807000-00013en_HK
dc.identifier.pmid9706773-
dc.identifier.scopuseid_2-s2.0-0031820886en_HK
dc.identifier.hkuros36587en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0031820886&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume27en_HK
dc.identifier.issue1en_HK
dc.identifier.spage63en_HK
dc.identifier.epage66en_HK
dc.identifier.isiWOS:000075405000012-
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridChu, KM=7402453538en_HK

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