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- Publisher Website: 10.1016/0002-9610(92)90102-W
- Scopus: eid_2-s2.0-0027075891
- PMID: 1371206
- WOS: WOS:A1992HE19100004
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Article: Choice of palliation for malignant hilar biliary obstruction
Title | Choice of palliation for malignant hilar biliary obstruction |
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Authors | |
Issue Date | 1992 |
Publisher | Elsevier Inc. The Journal's web site is located at http://www.elsevier.com/locate/amjsurg |
Citation | American Journal Of Surgery, 1992, v. 163 n. 2, p. 208-212 How to Cite? |
Abstract | Clinical data from 50 consecutive patients with unresectable hilar tumors situated at or proximal to the common hepatic duct were retrospectively analyzed to aid in the selection of appropriate palliative measures. Thirty- four patients had cholangio-enteric bypass (CEB) to either left (28 patients), right (3 patients), or both (3 patients) intrahepatic ductal systems. Sixteen patients had nonoperative drainage (NOD) established either endoscopically (4 patients), percutaneously (9 patients), or using a combined endoscopic-percutaneous approach (3 patients). When compared with patients with CEB, patients with NOD had more frequent medical problems (p <0.03) and lower serum albumin levels on admission (p <0.03). While comparable postprocedural complications (13 CEB patients versus 4 NOD patients) were observed, patients with NOD had a significantly higher hospital mortality (9 CEB patients versus 9 NOD patients, p <0.05). Excluding the 12 patients (6 CEB patients versus 6 NOD patients) who died within 30 days after drainage, the quality of survival of the remaining 38 patients was analyzed with reference to 6 objective parameters. Although patients with NOD had significantly more frequent admissions relating to their catheters (p <0.02), there was no qualitative difference in the survival rate between the two groups of patients. For selected high-risk patients with limited life expectancy, NOD should be offered. However, additional prospective studies are required to decide the best choice of palliation for patients who are not at such high risk. |
Persistent Identifier | http://hdl.handle.net/10722/172683 |
ISSN | 2023 Impact Factor: 2.7 2023 SCImago Journal Rankings: 0.897 |
ISI Accession Number ID |
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Lai, ECS | en_HK |
dc.contributor.author | Chu, KM | en_HK |
dc.contributor.author | Lo, CY | en_HK |
dc.contributor.author | Fan, ST | en_HK |
dc.contributor.author | Lo, CM | en_HK |
dc.contributor.author | Wong, J | en_HK |
dc.date.accessioned | 2012-10-30T06:24:15Z | - |
dc.date.available | 2012-10-30T06:24:15Z | - |
dc.date.issued | 1992 | en_HK |
dc.identifier.citation | American Journal Of Surgery, 1992, v. 163 n. 2, p. 208-212 | en_HK |
dc.identifier.issn | 0002-9610 | en_HK |
dc.identifier.uri | http://hdl.handle.net/10722/172683 | - |
dc.description.abstract | Clinical data from 50 consecutive patients with unresectable hilar tumors situated at or proximal to the common hepatic duct were retrospectively analyzed to aid in the selection of appropriate palliative measures. Thirty- four patients had cholangio-enteric bypass (CEB) to either left (28 patients), right (3 patients), or both (3 patients) intrahepatic ductal systems. Sixteen patients had nonoperative drainage (NOD) established either endoscopically (4 patients), percutaneously (9 patients), or using a combined endoscopic-percutaneous approach (3 patients). When compared with patients with CEB, patients with NOD had more frequent medical problems (p <0.03) and lower serum albumin levels on admission (p <0.03). While comparable postprocedural complications (13 CEB patients versus 4 NOD patients) were observed, patients with NOD had a significantly higher hospital mortality (9 CEB patients versus 9 NOD patients, p <0.05). Excluding the 12 patients (6 CEB patients versus 6 NOD patients) who died within 30 days after drainage, the quality of survival of the remaining 38 patients was analyzed with reference to 6 objective parameters. Although patients with NOD had significantly more frequent admissions relating to their catheters (p <0.02), there was no qualitative difference in the survival rate between the two groups of patients. For selected high-risk patients with limited life expectancy, NOD should be offered. However, additional prospective studies are required to decide the best choice of palliation for patients who are not at such high risk. | en_HK |
dc.language | eng | en_US |
dc.publisher | Elsevier Inc. The Journal's web site is located at http://www.elsevier.com/locate/amjsurg | en_HK |
dc.relation.ispartof | American Journal of Surgery | en_HK |
dc.subject.mesh | Aged | en_US |
dc.subject.mesh | Aged, 80 And Over | en_US |
dc.subject.mesh | Biliary Tract Neoplasms - Complications - Mortality | en_US |
dc.subject.mesh | Choledochostomy | en_US |
dc.subject.mesh | Cholestasis - Etiology - Surgery | en_US |
dc.subject.mesh | Drainage | en_US |
dc.subject.mesh | Female | en_US |
dc.subject.mesh | Humans | en_US |
dc.subject.mesh | Male | en_US |
dc.subject.mesh | Middle Aged | en_US |
dc.subject.mesh | Palliative Care | en_US |
dc.subject.mesh | Pancreatic Neoplasms - Complications | en_US |
dc.subject.mesh | Postoperative Complications | en_US |
dc.title | Choice of palliation for malignant hilar biliary obstruction | en_HK |
dc.type | Article | en_HK |
dc.identifier.email | Chu, KM: chukm@hkucc.hku.hk | en_HK |
dc.identifier.email | Fan, ST: stfan@hku.hk | en_HK |
dc.identifier.email | Lo, CM: chungmlo@hkucc.hku.hk | en_HK |
dc.identifier.email | Wong, J: jwong@hkucc.hku.hk | en_HK |
dc.identifier.authority | Chu, KM=rp00435 | en_HK |
dc.identifier.authority | Fan, ST=rp00355 | en_HK |
dc.identifier.authority | Lo, CM=rp00412 | en_HK |
dc.identifier.authority | Wong, J=rp00322 | en_HK |
dc.description.nature | link_to_subscribed_fulltext | en_US |
dc.identifier.doi | 10.1016/0002-9610(92)90102-W | en_HK |
dc.identifier.pmid | 1371206 | en_HK |
dc.identifier.scopus | eid_2-s2.0-0027075891 | en_HK |
dc.identifier.volume | 163 | en_HK |
dc.identifier.issue | 2 | en_HK |
dc.identifier.spage | 208 | en_HK |
dc.identifier.epage | 212 | en_HK |
dc.identifier.isi | WOS:A1992HE19100004 | - |
dc.publisher.place | United States | en_HK |
dc.identifier.scopusauthorid | Lai, ECS=36932159600 | en_HK |
dc.identifier.scopusauthorid | Chu, KM=7402453538 | en_HK |
dc.identifier.scopusauthorid | Lo, CY=16417392800 | en_HK |
dc.identifier.scopusauthorid | Fan, ST=7402678224 | en_HK |
dc.identifier.scopusauthorid | Lo, CM=7401771672 | en_HK |
dc.identifier.scopusauthorid | Wong, J=8049324500 | en_HK |
dc.identifier.issnl | 0002-9610 | - |