Journals / Turkish Journal of Gastroenterology / 1998 / Cilt: 9 - Sayı: 4
Endoscopic treatment for proximal and distal malignant biliary obstruction
- Pages
- 326–330
- DOI
- —
Abstract
The medical records of 25 patients, in whom endoprosthetic stents were inserted to relieve malignant biliary obstruction, were retrospectively reviewed. The effectiveness of stent replacement in relieving jaundice, complications of stenting and survival quality were evaluated. All patients who underwent stenting as their definitive palliative treatment were included in this study. The majority of stents were placed endoscopically. Single straight stents were the most frequently used. Jaundice was relieved in 11 (84.6%) patients who were successfully stented. The recorded complications were early cholangitis (n: 2) or late cholangitis (n: 5), stent migration (n: 1), papillotomy site bleeding (n: 1), pleural effusion (n: 1) and cholecystitis (n: 1). Median survival was 193 days. Compared with the proximal obstruction group at or above the common hepatic duct (n: 16), patients with distal ductal obstruction (n: 9) had similar obstruction relief, complication rates, median survival and quality of life. Stenting offers palliation of malignant biliary obstruction, and results are encouraging in both proximal and distal obstruction.
Özet
Malign bilier darlık nedeniyle bilier stent yerleştirilen 25 olgunun sonuçları, stentin sarılığı iyileştirmedeki etkinliği, komplikasyon ve yaşam kalitesi açısından retrospektif olarak incelendi. Malign bilier darlıklı olguların hepsinde de stent palyatif amaçla yerleştirildi. Stentlerin büyük çoğunluğu endoskopik yerleştirildi. Tüm olgularda düz plastik stent kullanıldı. Stent yerleştirilmesinde başarılı olunan olguların 11 (% 84, 6)'inde sarılık iyileşti. Kolanjit (erken: 2 ve geç kolanjit: 5) 7 (% 53, 8) olguda, stent migrasyonu bir (% 4) olguda, papillotomi yerinden kanama bir (% 4) olguda, kolesistit bir (% 4) olguda ve plevral effüzyon bir (% 4) olguda gelişti. Ortalama survival 193 gündü. Proximal ve distal obstrüksiyonlu olgularda obstrüksiyonun iyileşmesi, komplikasyon oranı, ortalama yaşam süresi ve kalitesi açısından sonuçlar benzer olarak bulundu. Malign bilier obstrüksiyonlarda stent yerleştirilmesi palyasyonu sağlayabilir. Hem proksimal hemde distal obstrüksiyonlarda sonuçlar cesaret vericidir.