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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.1
- 수록면
- 827 - 833 (7page)
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초록· 키워드
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Purpose: Endoscopic bile duct decompression using bilateral self-expandable metallic stents (SEMSs) deployed via a stent-instent(SIS) method is considered a preferred procedure for malignant hilar biliary obstruction (MHBO). However, occlusionthereof occurs frequently. Here, we investigated stent patency duration and risk factors related to stent obstruction with bilateralSIS placement for MHBO at two large centers. Materials and Methods: The present study reviewed data on patients with MHBO who underwent endoscopic biliary drainageusing the SIS method. Clinical outcomes, including stent patency duration and patient overall survival, were analyzed. Factors associatedwith stent patency were evaluated using Cox proportional hazards models. Results: Seventy patients with MHBO underwent endoscopic biliary drainage using the SIS method. Median age was 68 yearsold, and median follow-up duration was 140 days (interquartile range, 57–329). The proportion of high-grade MHBOs (Bismuthtype IV) was 57.1%. Median stent patency duration with the SIS method was 108 days according to Kaplan-Meier curves. Medianpatient survival analyzed by the Kaplan-Meier method was 181 days. Multivariate analysis indicated that higher baseline bilirubin(> 6.1 mg/dL) as an independent risk factor related to stent patency (p<0.05). Conclusion: In endoscopic biliary decompression using SEMS placed with the SIS method, obstructive jaundice was a risk factorfor stent patency. The SIS method for high-grade MHBO showed short stent patency.
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참고문헌 (29)
참고문헌 신청
Kato H / 2015 / Current status of endoscopic biliary drainage for unresectable malignant hilar biliary strictures / World J Gastrointest Endosc 7:1032~1038
Raju RP / 2011 / Optimum palliation of inoperable hilar cholangiocarcinoma: comparative assessment of the efficacy of plastic and self-expanding metal stents / Dig Dis Sci 56:1557~1564
정석 / 2016 / Basic Knowledge about Metal Stent Development / Clinical Endoscopy 49(2):108~112
Lee TH / 2017 / Bilateral versus unilateral placement of metal stents for inoperable high-grade malignant hilar biliary strictures: a multicenter, prospective, randomized study (with video) / Gastrointest Endosc 86:817~827
Kogure H / 2011 / Endoscopic bilateral metallic stenting for malignant hilar obstruction using newly designed stents / J Hepatobiliary Pancreat Sci 18:653~657
Raju RP / 2011 / Optimum palliation of inoperable hilar cholangiocarcinoma: comparative assessment of the efficacy of plastic and self-expanding metal stents / Dig Dis Sci 56:1557~1564
정석 / 2016 / Basic Knowledge about Metal Stent Development / Clinical Endoscopy 49(2):108~112
Lee TH / 2017 / Bilateral versus unilateral placement of metal stents for inoperable high-grade malignant hilar biliary strictures: a multicenter, prospective, randomized study (with video) / Gastrointest Endosc 86:817~827
Kogure H / 2011 / Endoscopic bilateral metallic stenting for malignant hilar obstruction using newly designed stents / J Hepatobiliary Pancreat Sci 18:653~657
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