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Selected Publication:
Beissert, M; Wittenberg, G; Sandstede, J; Beer, M; Tschammler, A; Burghardt, W; Jahns, R; Hahn, D.
Metallic stents and plastic endoprostheses in percutaneous treatment of biliary obstruction
Z Gastroenterol. 2002; 40(7):503-510
Doi: 10.1055/s-2002-32806
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- Beer Meinrad
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- Abstract:
- Background: In the light of the clinical controversy whether metallic stents or plastic endoprostheses should be used in the percutaneous treatment of biliary obstruction we retrospectively evaluated our experience with both drainage-systems. Methods: 71 patients (mean age 68 12 years) underwent a total of 81 interventions and received either plastic endoprostheses (11.5 or 12 French diameter; N = 57/81) or metallic stents (N = 24/81). Results: Drainage insertion was technically successful in all of the 71 patients. There was no procedure-related mortality, but a 30-day mortality of 15% (N = 11). Overall, 27 complications occurred in 81 interventions with a statistically significant higher complication-rate in plastic endoprostheses (39%; N = 21/54) compared to metallic stents (22%; N = 6/27). The average patency of the drainage-systems was 166 +/- 341 days (range 1-2,705 days) and did not differ significantly between the drainage-subtypes. Incidence of complications and a further increase in serum bilirubin following intervention was associated with a higher drainage occlusion-rate and reduced survival, irrespective of the drainage-system used. Conclusions: Percutaneous transhepatic treatment of biliary obstructions with internal drainages is a reliable therapy. The overall complication-rate of metallic stents was lower compared to plastic endoprostheses; however, no significant differences were found with respect to drainage patency or success-rate.
- Find related publications in this database (using NLM MeSH Indexing)
- Adult -
- Aged -
- Aged, 80 and over -
- Bile Duct Neoplasms - blood Bile Duct Neoplasms - mortality Bile Duct Neoplasms - therapy
- Bilirubin - blood
- Cholestasis - blood Cholestasis - mortality Cholestasis - therapy
- Female -
- Humans -
- Male -
- Metals -
- Middle Aged -
- Palliative Care -
- Plastics -
- Prostheses and Implants -
- Prosthesis Design -
- Prosthesis Failure -
- Retrospective Studies -
- Stents -
- Survival Rate -
- Treatment Outcome -
- Find related publications in this database (Keywords)
- bile ducts
- interventional procedure
- bile ducts
- stenosis or obstruction
- bile ducts
- stents and endoprostheses