Treatment of malignant and benign biliary obstructions with metal stents

被引:9
作者
Hausegger, KA [1 ]
Kugler, C [1 ]
机构
[1] Graz Univ, Radiol Klin, Klin Abt Spezielle Radiol & Sonstige Bildgebende, A-8036 Graz, Austria
来源
ROFO-FORTSCHRITTE AUF DEM GEBIET DER RONTGENSTRAHLEN UND DER BILDGEBENDEN VERFAHREN | 2000年 / 172卷 / 04期
关键词
biliary tract obstructions; therapy; metal prostheses; stents;
D O I
10.1055/s-2000-329
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
The palliative treatment of malignant bilary tract obstructions using a metal stent is now an established procedure in clinical practice, An endoscopic, transpapillary approach is the first choice for implantation of the stent. If it is not possible to insert the stent in this way, which is often the case with high obstructions, a percutaneous approach is chosen. It appears to be beneficial to use a metal stent with a fine-meshed net such as, for example, the Wall stent. Metal stents have a higher patency rate than plastic stents so that the primary choice of a metal stent is justified, Coated stents have not yet shown any major advantages. In cases of stent occlusion, the coaxial implantation of a plastic stent seems to be the most efficient. In cases of benign biliary tract stenoses, a metal stent should only be implanted after a careful evaluation of all possible surgical modalities and exploitation of balloon dilatation and long-term splinting methods.
引用
收藏
页码:315 / 322
页数:8
相关论文
共 50 条
[1]   SELF-EXPANDABLE STAINLESS-STEEL ENDOPROSTHESES FOR TREATMENT OF MALIGNANT BILE-DUCT OBSTRUCTION [J].
ADAM, A ;
CHETTY, N ;
RODDIE, M ;
YEUNG, E ;
BENJAMIN, IS .
AMERICAN JOURNAL OF ROENTGENOLOGY, 1991, 156 (02) :321-325
[2]   SYMPTOM RELIEF AND QUALITY-OF-LIFE AFTER STENTING FOR MALIGNANT BILE-DUCT OBSTRUCTION [J].
BALLINGER, AB ;
MCHUGH, M ;
CATNACH, SM ;
ALSTEAD, EM ;
CLARK, ML .
GUT, 1994, 35 (04) :467-470
[3]   TECHNICAL FAILURE OF BILIARY METAL STENT DEPLOYMENT IN A SERIES OF 116 APPLICATIONS [J].
BETHGE, N ;
WAGNER, HJ ;
KNYRIM, K ;
ZIMMERMANN, HB ;
STARCK, E ;
PAUSCH, J ;
VAKIL, N .
ENDOSCOPY, 1992, 24 (05) :395-400
[4]   BILIARY METALLIC STENTS IN BENIGN STRICTURES [J].
BEZZI, M ;
SALVATORI, FM ;
MACCIONI, F ;
RICCI, P ;
ROSSI, P .
SEMINARS IN INTERVENTIONAL RADIOLOGY, 1991, 8 (04) :321-330
[5]   RESECTION OR PALLIATION - PRIORITY OF SURGERY IN THE TREATMENT OF HILAR CANCER [J].
BISMUTH, H ;
CASTAING, D ;
TRAYNOR, O .
WORLD JOURNAL OF SURGERY, 1988, 12 (01) :39-47
[6]   MALIGNANT BILIARY OBSTRUCTION - CLINICAL AND HISTOPATHOLOGIC CORRELATION AFTER TREATMENT WITH SELF-EXPANDING METAL PROSTHESES [J].
BOGUTH, L ;
TATALOVIC, S ;
ANTONUCCI, F ;
HEER, M ;
SULSER, H ;
ZOLLIKOFER, CL .
RADIOLOGY, 1994, 192 (03) :669-674
[7]   Placement of metallic stents for treatment of postoperative biliary strictures: Long-term outcome in 25 patients [J].
Bonnel, DH ;
Liguory, CL ;
Lefebvre, JF ;
Cornud, FE .
AMERICAN JOURNAL OF ROENTGENOLOGY, 1997, 169 (06) :1517-1522
[8]   Outcome in patients with bifurcation tumors who undergo unilateral versus bilateral hepatic duct drainage [J].
Chang, WH ;
Kortan, P ;
Haber, GB .
GASTROINTESTINAL ENDOSCOPY, 1998, 47 (05) :354-362
[9]   BENIGN BILIARY STRICTURES - TREATMENT WITH PERCUTANEOUS CHOLANGIOPLASTY [J].
CITRON, SJ ;
MARTIN, LG .
RADIOLOGY, 1991, 178 (02) :339-341
[10]   METALLIC STENTS FOR THE TREATMENT OF BILIARY OBSTRUCTION - A REPORT OF 100 CASES [J].
COONS, H .
CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY, 1992, 15 (06) :367-374