Usefulness of self-expandable metallic stents endoprosthesis of malignant bile duct obstruction

During the period of Feb.1994 to Dec.1997, we inserted 18 biliary endoprostheses (Wallstent and Accuflex) PTBE in 14 patient (7 men 7 women; 47-89 years (mean 66.6 years) of age) with unresectable malignant biliary stenosis. These patients were treated with Wallstent (n=8) and Accuflex (n=10), respe...

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Bibliographic Details
Published inTando Vol. 12; no. 2; pp. 178 - 182
Main Authors SHIMODA, Mitsugu, TAGAYA, Nobuyoshi, KADOWAKI, Atsushi, KOGURE, Hiroaki
Format Journal Article
LanguageJapanese
Published Japan Biliary Association 1998
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Summary:During the period of Feb.1994 to Dec.1997, we inserted 18 biliary endoprostheses (Wallstent and Accuflex) PTBE in 14 patient (7 men 7 women; 47-89 years (mean 66.6 years) of age) with unresectable malignant biliary stenosis. These patients were treated with Wallstent (n=8) and Accuflex (n=10), respectively. Successful placement of expandable metallic stent (EMS) were achieved in 11(79%) patients. Nine patients were discharged, but two patients remained in the hospital due to recurrent jaundice without stent occlusion. The median survival time was 198.1days. Early acute obstruction was seen only in one patient (7%) and treated by tube stenting. EMS was easy to place percutaneously. Occlusion rate was lower than that by other stents. EMS is advantageous in the palliative treatment of malignant biliary obstruction.
ISSN:0914-0077
1883-6879
DOI:10.11210/tando1987.12.2_178