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Metallic stent placement versus catheter drainage for malignant bilioenteric anastomotic stricture.
- Source :
- Japanese Journal of Radiology; May2022, Vol. 40 Issue 5, p518-524, 7p
- Publication Year :
- 2022
-
Abstract
- <bold>Purpose: </bold>The purpose of the study was to compare self-expandable metallic stent placement with catheter drainage for malignant bilioenteric anastomotic stricture in terms of efficacy and safety.<bold>Materials and Methods: </bold>This study included 54 patients with malignant bilioenteric anastomotic stricture treated from March 2016 to February 2021. Twenty-seven patients underwent insertion of self-expandable metallic stent (Stent group); the remaining twenty-seven patients underwent internal-external catheter drainage (Catheter group). Technical success was defined as successful placement of stent or drainage catheter in the appropriate position; clinical success was defined as a 20% reduction in serum bilirubin within 1 week after the procedure, compared with baseline. Complications, duration to stent/catheter malfunction, and overall survival were evaluated.<bold>Results: </bold>Technical success was achieved in all patients in both groups. In the Stent group, 21 patients received one stent and the other 6 patients required two stents. Clinical success rates were similar between the groups [Stent group, 92.6% (25/27); Catheter group, 88.9% (24/27)]. There were no major complications. The median duration to stent/catheter malfunction was significantly longer in the Stent group (130 days) than in the Catheter group (82 days; Pā=ā0.010). The median overall survival was also significantly longer in the Stent group (187 days) than in the Catheter group (118 days; Pā=ā0.038).<bold>Conclusion: </bold>Self-expandable metallic stent placement might be better than internal-external catheter drainage for malignant bilioenteric anastomotic stricture in terms of the duration before stent/catheter malfunction and patient survival. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 18671071
- Volume :
- 40
- Issue :
- 5
- Database :
- Complementary Index
- Journal :
- Japanese Journal of Radiology
- Publication Type :
- Academic Journal
- Accession number :
- 156676733
- Full Text :
- https://doi.org/10.1007/s11604-021-01222-5