In:
Digestive Endoscopy, Wiley, Vol. 20, No. 4 ( 2008-10), p. 190-193
Abstract:
Background: Unilateral endoscopic drainage in unresectable type II malignant hilar biliary obstruction is effective. Contrast injection leads to cholangitis. Recently, contrast‐free unilateral metal stenting in malignant hilar biliary obstruction has shown encouraging results, however, it is costly. Methods: We prospectively studied the outcome of unilateral balloon‐assisted plastic stenting in 15 patients with type II malignant hilar biliary obstruction without contrast. Results: A successful endoscopic drainage was achieved in 100% (15/15) patients. Cholangitis occurred in none and no patient died within 30 days. Mean patency of stent was 104.8 ± 18.3 days. Mean (±SD) survival of these patients was 129.5 ± 39.2 days. No major complications were observed. Conclusions: Unilateral endoscopic contrast‐free balloon‐assisted plastic stenting in type II malignant hilar biliary obstruction is a safe and effective method of palliation. However, a larger study is needed to validate the findings.
Type of Medium:
Online Resource
ISSN:
0915-5635
,
1443-1661
DOI:
10.1111/den.2008.20.issue-4
DOI:
10.1111/j.1443-1661.2008.00805.x
Language:
English
Publisher:
Wiley
Publication Date:
2008
detail.hit.zdb_id:
2020071-7
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