Patency of Side Branches after Peripheral Placement of Metallic Biliary Endoprostheses

Nicholson, D A; Chetty, Naren; Jackson, James E.; Roddie, Mary E.; Adam, Andreas

doi:10.1016/s1051-0443(92)72204-0

Cited by 23 publications

(6 citation statements)

References 7 publications

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“…Follow‐up CT examinations of these patients with hilar obstructions showed additional drainage of a liver segment or a lobe at the 2nd or 3rd month which had remained undrained early after the initial stent placement. These cases reveal one of the advantages of uncovered metallic stents over the plastic ones, which is drainage of the biliary ducts ending at the edge of the stent, as has been mentioned previously (11, 15).…”

supporting

confidence: 67%

Percutaneous Self-Expandable Uncovered Metallic Stents in Malignant Biliary Obstruction. Complications, follow-up and reintervention in 154 patients

İnal

Akgül²,

Aksungur³

et al. 2003

Acta Radiologica

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Percutaneous metallic stent placement maintains equal palliation in patients with proximal and distal malignant biliary obstructions caused by any tumor type. Most of the early complications were due to procedures performed before stent insertion and could be decreased by direct stent insertions. The most common late complication, reobstruction, is inevitable but can be easily treated in the majority of patients.

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supporting

confidence: 67%

Percutaneous Self-Expandable Uncovered Metallic Stents in Malignant Biliary Obstruction. Complications, follow-up and reintervention in 154 patients

İnal

Akgül²,

Aksungur³

et al. 2003

Acta Radiologica

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“…Metal stents are more flexible, which enables more stable conformation to the tortuous hilar anatomy, and their mesh network enables drainage of subsegmental ducts [33]. The disadvantages are the cost, which are often 10 times that of plastic, and the permanent nature of the stent that limits removal and thus surgical intervention.…”

Section: Discussionmentioning

confidence: 99%

Optimum Palliation of Inoperable Hilar Cholangiocarcinoma: Comparative Assessment of the Efficacy of Plastic and Self-Expanding Metal Stents

et al. 2011

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“…12,13,22,23,28,29 Median reported survival time for unresectable tumours is between 3 and 12 months. [30][31][32][33][34] The most common causes of death are liver failure and sepsis due to chronic obstruction.…”

Section: Natural Historymentioning

confidence: 99%

“…The prognosis of untreated proximal biliary malignancy is poor even compared with other malignancies 12,13,28,29 . Median reported survival time for unresectable tumours is between 3 and 12 months 30−34 . The most common causes of death are liver failure and sepsis due to chronic obstruction.…”

Section: Introductionmentioning

confidence: 99%

Role of radiology in the treatment of malignant hilar biliary strictures 1: Review of the literature

Hii

Gibson

2004

Australasian Radiology

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Malignant strictures of the biliary tree are an uncommon cause of obstructive jaundice. There are a number of pathological subtypes, but tumours in this region tend to have similar clinical and diagnostic features and therapeutic and prognostic implications. We review the published literature on this topic discussing diagnostic modalities and treatment options with a focus on radiological intervention. Diagnosis currently is best achieved using a range of procedures. Direct cholangiography remains the gold standard in delineating anatomy, but the invasiveness of this procedure limits its use as a purely diagnostic tool. Magnetic resonance technology, in particular magnetic resonance cholangiopancreatography, has an increasing role as accessibility is improved. Treatment of these tumours is difficult. Surgical resection and palliative biliary enteric bypass are the most common methods used with endoscopic and percutaneous therapies reserved for palliating patients not fit for surgery. There is little firm evidence to suggest that any one palliative modality is superior. Interventional radiology is particularly suitable for palliative management of difficult and expansive lesions as the anatomy can preclude easy access by surgical or endoscopic techniques. Good palliative results with minimal mortality and morbidity can be achieved with percutaneous stenting.

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Patency of Side Branches after Peripheral Placement of Metallic Biliary Endoprostheses

Cited by 23 publications

References 7 publications

Percutaneous Self-Expandable Uncovered Metallic Stents in Malignant Biliary Obstruction. Complications, follow-up and reintervention in 154 patients

Percutaneous Self-Expandable Uncovered Metallic Stents in Malignant Biliary Obstruction. Complications, follow-up and reintervention in 154 patients

Optimum Palliation of Inoperable Hilar Cholangiocarcinoma: Comparative Assessment of the Efficacy of Plastic and Self-Expanding Metal Stents

Role of radiology in the treatment of malignant hilar biliary strictures 1: Review of the literature

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