| Percutaneous T-tube placement for bilateral internal drainage in malignant hilar obstruction. | |
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MedLine Citation:
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PMID: 11148989 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND/AIMS: The aim of this retrospective study was to determine the efficacy and safety of percutaneous T-tube placement for malignant hilar obstruction. Results were compared with self-expanding metal stents. METHODOLOGY: Between June 1989 and April 1999, 24 consecutive patients with type II, III, IV hilar obstructions underwent T-tube (n = 12) and metal stent placement (n = 12). A 9-F T-tube was placed percutaneously into the right and left hepatic ducts. Metal stents (diameter: 6-10 mm) were placed in both ducts. RESULTS: Stent placement was successful in all patients. Early complications occurred in 2 patients in the metal stent group (arterio-biliary fistula and cholangitis). In the T-tube group, the 30-day mortality rate were 25%. These were not procedure related. The median patency period in the metal stent group (365.0 +/- 113.3 days) was longer than in the T-tube group (167.0 +/- 71.1 days). There were no significant differences in the median survival rates (224.0 +/- 39.0 days vs. 197.0 +/- 104.8 days). CONCLUSIONS: Internal T-tube placement for drainage of malignant hilar obstruction is safe and associated with few complications. The advantage of this procedure is removability of the T-tube stents. |
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Authors:
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I Maetani; H Inoue; S Ogawa; M Sato; Y Igarashi; Y Sakai |
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Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: Hepato-gastroenterology Volume: 47 ISSN: 0172-6390 ISO Abbreviation: Hepatogastroenterology Publication Date: 2000 Nov-Dec |
Date Detail:
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Created Date: 2001-01-08 Completed Date: 2001-02-22 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 8007849 Medline TA: Hepatogastroenterology Country: Greece |
Other Details:
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Languages: eng Pagination: 1509-13 Citation Subset: IM |
Affiliation:
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Third Department of Internal Medicine, Toho University Ohashi Hospital, Tokyo, Japan. maet@oha.toho-u.ac.jp |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Biliary Tract Neoplasms / complications, therapy* Choledochostomy Cholestasis, Intrahepatic / etiology, therapy* Female Humans Male Middle Aged Palliative Care* Retrospective Studies Stents* Survival Rate |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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