Document Detail

Percutaneous use of ePTFE/FEP-covered metallic stent for palliation of malignant biliary obstruction.
MedLine Citation:
PMID:  25025653     Owner:  NLM     Status:  Publisher    
Abstract Introduction: Placement of self-expanding metallic stents has been a standard palliative treatment for patients with inoperable biliary malignancy, aiming at improving quality of life via a minimally invasive procedure. This study aimed to evaluate the efficacy of percutaneous placement of expanded polytetrafluoroethylene/fluorinated ethylene propylene-covered metallic stents for palliation of inoperable biliary malignancy. Material and methods: Between February 2012 and April 2013, 11 patients with inoperable malignant biliary obstruction were treated with stent implantation. Serum bilirubin and liver enzyme levels were measured before/immediately after stent placement and at one, three, and six months. Patient survival and stent patency were calculated using Kaplan-Meier analysis. Results: No migration occurred. Patients showed clinical improvement immediately and one month after stent placement, with a significant reduction in mean serum bilirubin level (p < 0.05). At six months, bilirubin levels were <1.5 mg/dL in all cases. One patient developed acute liver failure four days after stent implantation, leading to death. Survival rates were 90% at three months and 70% at six months. Primary patency rates were 100%, 100%, and 90% at one, three, and six months, respectively. Conclusion: Percutaneous placement of expanded polytetrafluoroethylene/fluorinated ethylene propylene-covered metallic stents offered an effective palliative therapy for patients with inoperable biliary malignancy.
Charles Edouard Zurstrassen; Aline Cristine Barbosa Santos; Chiang Jeng Tyng; João Paulo Matushita; Felipe Jose Coimbra; Alessandro Landskron Diniz; Heber Salvador Ribeiro; Wilson Luiz Costa; Daniel Cunha Lima
Related Documents :
10402893 - Management and short-term outcome of persistent hyperinsulinaemic hypoglycaemia of infa...
10556123 - Burkholderia cepacia in cystic fibrosis. variable disease course.
19468433 - Closure versus nonclosure of buccal mucosal graft harvest site: a prospective randomize...
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2014-7-15
Journal Detail:
Title:  Minimally invasive therapy & allied technologies : MITAT : official journal of the Society for Minimally Invasive Therapy     Volume:  -     ISSN:  1365-2931     ISO Abbreviation:  Minim Invasive Ther Allied Technol     Publication Date:  2014 Jul 
Date Detail:
Created Date:  2014-7-15     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9612996     Medline TA:  Minim Invasive Ther Allied Technol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  1-8     Citation Subset:  -    
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Kinetics and Structural Changes of the Li-rich layered oxide 0.5Li2MnO3•0.5LiNi0.292Co0.375Mn0.333O2...
Next Document:  Recent advances in patient related outcome in gynaecological cancer.