CLOGGING AND OTHER COMPLICATIONS OF ENDOSCOPIC BILIARY ENDOPROSTHESES

被引:37
作者
DOWIDAR, N [1 ]
MOESGAARD, F [1 ]
MATZEN, P [1 ]
机构
[1] UNIV COPENHAGEN, HVIDOVRE HOSP, DEPT MED & SURG GASTROENTEROL, ENDOSCOPY UNIT 332, DK-2650 HVIDOVRE, DENMARK
关键词
BILE DUCTS; CHOLANGIOPANCREATOGRAPHY; ENDOSCOPIC RETROGRADE; CHOLESTASIS; DRAINAGE; INSTRUMENTATION; ENDOSCOPY; PALLIATIVE TREATMENT; PROSTHESIS FAILURE; STENTS;
D O I
10.3109/00365529108998604
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
This study included 236 patients treated with endoscopic biliary endoprostheses. Malignant strictures were responsible for the obstruction in 87% of the patients. The 1-week and 1-month mortality for patients with malignant strictures was 10% and 22%, respectively, whereas that of patients with benign conditions was 3% and 10%, respectively. The major complication encountered was the frequent hospital readmissions of patients owing to clogging of their endoprostheses. Late clogging had an overall occurrence of 33% and presented with recurrence of jaundice with or without fever or pain. Late signs of cholangitis occurred in 15% of the patients, whereas other late complications were rather infrequent. Although 10-french endoprostheses had a significantly longer patency period than 7-french-that is, 6 months versus 2 months (p = 0.01)-the proportion of patients in whom clogging occurred was nearly the same, 30% for 10-french and 32% for 7-french endoprostheses.
引用
收藏
页码:1132 / 1136
页数:5
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