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Y-Shaped Bilateral Self-Expandable Metallic Stent Placement for Malignant Hilar Biliary Obstruction: Data from a Referral Center for Palliative Care
Joint Authors
Source
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-03-23
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Medicine
Information Technology and Computer Science
Abstract EN
Background and Aim.
Malignant hilar strictures are a clinical challenge because of the current therapeutic approach and the poor prognosis.
In recent years, self-expandable metallic stents have proven more effective than plastic stents for palliation of malignant hilar strictures, with the bilateral stent-in-stent technique registering a high success rate.
We report our experience with Y-shaped endoscopic self-expandable metallic stents placement for treatment of advanced malignant hilar strictures.
Methods.
From April 2009 to August 2012, we prospectively collected data on patients treated with Y-shaped SEMS placement for advanced malignant hilar carcinoma.
Data on technical success, clinical success, and complications were collected.
Results.
Twenty patients (9 males) were treated (mean age 64.2 ± 15.3 years).
The grade of malignant hilar strictures according to the Bismuth classification was II in 5 patients (25%), IIIa in 1 (5%), and IV in 14 (70%).
The mean bilirubin level was 14.7 ± 4.9 mg/dL.
Technical success was achieved in all patients, with a significant reduction in bilirubin levels (2.9 ± 1.7 mg/dL).
One patient experienced cholangitis as early complication, while in 2 patients stent ingrowth was observed.
No stents migration was recorded.
There was no procedure-related mortality.
At the end of the follow-up (7.1 ± 3.1 months), 13 of the 20 patients (65%) had died.
Conclusions.
Our experience confirms endoscopic bilateral self-expandable metallic stents placement with stent-in-stent technique (Y-shaped configuration) as a feasible, effective, and safe procedure for palliation of unresectable malignant hilar strictures.
American Psychological Association (APA)
Di Mitri, R.& Mocciaro, F.. 2014. Y-Shaped Bilateral Self-Expandable Metallic Stent Placement for Malignant Hilar Biliary Obstruction: Data from a Referral Center for Palliative Care. The Scientific World Journal،Vol. 2014, no. 2014, pp.1-5.
https://search.emarefa.net/detail/BIM-1048490
Modern Language Association (MLA)
Di Mitri, R.& Mocciaro, F.. Y-Shaped Bilateral Self-Expandable Metallic Stent Placement for Malignant Hilar Biliary Obstruction: Data from a Referral Center for Palliative Care. The Scientific World Journal No. 2014 (2014), pp.1-5.
https://search.emarefa.net/detail/BIM-1048490
American Medical Association (AMA)
Di Mitri, R.& Mocciaro, F.. Y-Shaped Bilateral Self-Expandable Metallic Stent Placement for Malignant Hilar Biliary Obstruction: Data from a Referral Center for Palliative Care. The Scientific World Journal. 2014. Vol. 2014, no. 2014, pp.1-5.
https://search.emarefa.net/detail/BIM-1048490
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1048490