1999
DOI: 10.1097/00042737-199907000-00016
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Results of percutaneous plastic stents for malignant distal biliary obstruction following failed endoscopic stent insertion and comparison with current literature on expandable metallic stents

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Cited by 40 publications
(19 citation statements)
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“…There is, however, a small subset of patients for whom transpapillary stent placement is not possible due to tumor infiltration/obstruction of the duodenum or failed biliary cannulation as a result of previous surgery, a periampullary diverticula, or convoluted bile duct [5][6][7]. In such cases, percutaneous transhepatic cholangiography and drainage (PTC)-internal or external-is an alternative means to avoid surgery [8][9][10]. Nonetheless, PTC can lead to significant complications, including biliary peritonitis, perforation of the gallbladder, hemobilia, pneumothorax, and a discomfort caused by catheter placement [11].…”
Section: Introductionmentioning
confidence: 99%
“…There is, however, a small subset of patients for whom transpapillary stent placement is not possible due to tumor infiltration/obstruction of the duodenum or failed biliary cannulation as a result of previous surgery, a periampullary diverticula, or convoluted bile duct [5][6][7]. In such cases, percutaneous transhepatic cholangiography and drainage (PTC)-internal or external-is an alternative means to avoid surgery [8][9][10]. Nonetheless, PTC can lead to significant complications, including biliary peritonitis, perforation of the gallbladder, hemobilia, pneumothorax, and a discomfort caused by catheter placement [11].…”
Section: Introductionmentioning
confidence: 99%
“…Bei der Entscheidung für ein EUS-basiertes Verfahren zur Ableitung der Galle steht prinzipiell die Alternative der PTCD im Raum. Oft gewährleistet sie eine sichere Cholangiodrainage, allerdings wurden auch Komplikationsraten von 10-39% berichtet [1,3,8]. Dem stehen Komplikationsraten der Gallengangs-(und Pankreasgang-)Drainage von bis zu 25% und im Mittel 15,7% gegenüber [10].…”
Section: Daten Zur Endosonographischen Cholangiodrainageunclassified
“…Insertion of plastic and metallic prostheses during endoscopie retrograde cholangiopancreatography (ERCP) is currently the procedure of ehoice for the management of distal biliary malignant obstructions, given its lower invasiveness and complication rates compared to other methods (Figure 1.3). Therefore, in centers where endoscopic expertise is available, PTC or combined endoscopic and radiological 15 approaches (rendez-vous technique) are reserved for endoscopie failures [21,22].…”
Section: Treatmentmentioning
confidence: 99%