Management of the unresectable malignant obstructive jaundice with metal alloy biliary stents
- VernacularTitle:合金胆道支架治疗不能切除的恶性肿瘤所致的梗阻性黄疸
- Author:
Huihuan TANG
;
Guangfa XIAO
;
Xutao TANG
;
Shi CHANG
;
Jianhua HUANG
;
Chun HE
;
Xiaoji PAN
- Publication Type:Journal Article
- Keywords:
CHOLESTASIS/etiol;
BILE DUCT NEOPLASMS/compl;
CHOLESTASIS/surg;
STENTS
- From:
Chinese Journal of General Surgery
2001;0(08):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the indication and value of metallic stent in the management of patients with malignant obstructive jaundice(OJ). Method The clinical data of 15 patients with malignant OJ treated in our hospital were analysed retrospectively. All the 15 patients were treated with metallic stent including cholangiocarcinoma in 8 cases, carcinoma of gallbladder in 3 cases, pancreatic carcinoma in 2 cases, porta hepatis metastasis of gastric carcinoma after radical gastrectomy in 2 cases. Result All the patients' jaundice disappeared 11-38 days after the stent placement. No severe complications or death occurred in this series. One patient had cholimia 5 days after the stent placement, which was cured by non-operative method. All cases were followed up periodically, the survival time was 30-384 days(averag 180.5 days). Conclusions Installing stent of Titanium-Nickel metallic alloy for the patient with unresectable malignant OJ is an ideal palliative therapy which is simple and less discomfortable.and less complications.The effect of reducing jaundice is satisfactory. This method may offer a new alternative method in the management of malignant OJ.
