Endoscopic biliary stent drainage for obstructive jaundice due to hepatic portal metastatic carcinoma
10.3760/cma.j.issn.1007-5232.2011.02.007
- VernacularTitle:肝门区转移癌所致梗阻性黄疸的内镜支架引流治疗临床效果分析
- Author:
Zhifeng ZHAO
;
Shuren MA
;
Ning ZHANG
;
Zhuo YANG
;
Yunfeng ZHAO
;
Zhaojie GONG
;
Lin YANG
- Publication Type:Journal Article
- Keywords:
Jaundice,obstructive;
Liver neoplasms;
Neoplasm metastasis;
Drainage;
Endoscopes
- From:
Chinese Journal of Digestive Endoscopy
2011;28(2):80-82
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical value of endoscopic biliary stent drainage for obstructive jaundice due to hepatic portal metastatic carcinoma. Methods Patients with obstructive jaundice arising from hepatic portal metastatic carcinoma were selected and treated with consent by plastic endoscopic bile duct stents since 2006. Success rate and survival were evaluated. A total of 38 patients with obstructive jaundice were treated and analyzed. Hepatic portal metastatic carcinoma included 13 cases of liver cancer, 3gallbladder carcinoma, 14 gastric carcinoma, 2 esophageal carcinoma, 1 ileum adenocarcinoma and 5 pancreatic carcinoma. Results Stents were successfully placed in all patients and jaundice rapidly subsided after the endoscopic procedure. Follow-up life span was 92-521 days, mean 264. 42 ± 104. 41 days. During follow-up, biliary stents were replaced in 5 patients in 3-14 months ( mean 8. 6 ± 4. 1 months) because of stent displacment in 1 case, biliary stone obstruction in 2 cases and carcinomatous obstruction in 2 others.Conclusion For patients with obstructive jaundice arising from hepatic portal metastatic carcinoma, endoscopic biliary stent drainage is effective and can prolong life span to some degree.
