Percutaneous self-expandable metallic stents and malignant biliary strictures

Eur J Surg Oncol. 1997 Oct;23(5):403-8. doi: 10.1016/s0748-7983(97)93719-7.

Abstract

Thirty-five patients with malignant obstructive jaundice received palliative treatment using percutaneous self-expandable metallic stents. Cholangiocarcinoma was the most frequent cause of the biliary obstruction. In more than 50% of cases, the stricture was located in the hilum. Adequate biliary drainage was achieved in 97% of cases. Median survival was 182 days, and 11% of patients died within 30 days. Early complications occurred in 31% of patients, and 25% of patients showed recurrent jaundice after an average of 180 days. Percutaneous self-expandable metallic stents are an efficient means of palliatively treating malignant biliary strictures, particularly high biliary obstructions.

MeSH terms

  • Aged
  • Aged, 80 and over
  • Bile Duct Neoplasms / complications*
  • Bile Duct Neoplasms / mortality
  • Bile Duct Neoplasms / surgery*
  • Biliary Tract Surgical Procedures / instrumentation*
  • Cholestasis / etiology
  • Cholestasis / mortality
  • Cholestasis / surgery*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Palliative Care*
  • Postoperative Complications
  • Recurrence
  • Stents*
  • Survival Analysis
  • Treatment Outcome