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[Endoscopic biliary stents for the temporary management of choledocholithiasis].
- Source :
-
Revista medica de Chile [Rev Med Chil] 2006 Jun; Vol. 134 (6), pp. 721-5. Date of Electronic Publication: 2006 Aug 14. - Publication Year :
- 2006
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Abstract
- Background: Endoscopic extraction of biliary tract stones is safe and effective. When the procedure is not successful, the use of a temporary stent can be a solution.<br />Aim: To prospectively analyze the usefulness of endoscopic biliary stents in the temporary management of biliary obstruction due to choledocholithiasis.<br />Material and Methods: Analysis of 51 consecutive patients (age range 21-88 years, 34 females) with common bile duct stones that, from January 1999 to December 2001, were subjected to an endoscopic insertion of a biliary stent.<br />Results: The indications for stent placement were a large stone in 40 patients (78%), the insecurity of a complete biliary tract cleaning in eight (16%) and technical difficulties in three (6%). Twenty seven patients (52.9%) were jaundiced and 17 (33.3%) had cholangitis. The prostheses remained in place until definitive resolution of the choledocholithiasis in 47 patients (92%) and migrated in 4 (8%). Bilirubin levels became normal in all cases with jaundice and infection resolved in all those with cholangitis. The definitive treatment of choledocholithiasis was done endoscopically in 28 patients (58%) and surgically in 20 (42%). Three patients were lost from follow up. Of these, one patient (2%) died 14 months later due to a recurrent cholangitis. The remaining two patients were asymptomatic and with the prostheses still in place 522 and 560 days post stent placement.<br />Conclusions: When the immediate endoscopic resolution of choledocholithiasis is not possible, temporary stenting is a simple and safe therapeutic alternative that allows patients to be free of obstructive complications until the definitive treatment is carried out.
Details
- Language :
- Spanish; Castilian
- ISSN :
- 0034-9887
- Volume :
- 134
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- Revista medica de Chile
- Publication Type :
- Academic Journal
- Accession number :
- 17130946
- Full Text :
- https://doi.org/10.4067/s0034-98872006000600007