caa a22 4500 469117729 CHVBK 20180323133129.0 cr unu---uuuuu 170328e19921101xx s 000 0 eng 10.1007/BF02734117 doi (NATIONALLICENCE)springer-10.1007/BF02734117 Malignant biliary obstruction: Treatment with self-expandable stainless steel endoprosthesis [Elektronische Daten] [Erick Salomonowitz, Andreas Adam, Francesco Antonucci, Gerd Stuckmann, Christoph Zollikofer] Metal endoprostheses of the Wallstent type were successfully inserted percutaneously and endoscopically in 80 consecutive patients with malignant obstructive biliary stenoses, who were followed for up to 18 months. The indication for treatment was jaundice due to malignant biliary obstruction. Repeat radiological investigations were performed if the patient had symptoms suggesting stent occlusion. After stent implantation, 88% of patients demonstrated a serum bilirubin decrease by more than 50%. We observed a 15% rate of serious complications, including a 10% rate of cholangitis with septicemia. There were no cases of stent migration or occlusion due to encrustation of bile. Recurrent jaundice occurred in 17.5% of patients due to progressive tumor growth after 3-10 months. In 5 of these patients, tumor overgrowth was redilated and/or restented. Of the 80 patients, 34% are alive after 2-12 months (mean: 242 days); of these, two-thirds are free of jaundice. Sixty-six percent of patients died between 3 days and 1.5 years (mean: 133 days). Although autopsy investigations revealed the possibility of tumor growth onto the inner surface of the stent, through the mesh of the endoprosthesis, no stent occlusion by tumor ingrowth into the lumen occurred. Self-expandable stainless steel endoprostheses provide good palliation in patients with malignant obstructive jaundice. Springer-Verlag New York Inc., 1992 Bile ducts nationallicence Interventional procedures nationallicence Neoplasms nationallicence Prostheses nationallicence Stenoses, obstructions nationallicence Salomonowitz Erick Department of Radiology, Kantonsspital Winterthur, Switzerland aut Adam Andreas Department of Diagnostic Radiology, Royal Postgraduate Medical School, Hammersmith Hospital, London, England aut Antonucci Francesco Department of Radiology, Kantonsspital Winterthur, Switzerland aut Stuckmann Gerd Department of Radiology, Kantonsspital Winterthur, Switzerland aut Zollikofer Christoph Department of Radiology, Kantonsspital Winterthur, Switzerland aut CardioVascular and Interventional Radiology Springer-Verlag 15/6(1992-11-01), 351-355 0174-1551 15:6<351 1992 15 270 https://doi.org/10.1007/BF02734117 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF02734117 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Salomonowitz Erick Department of Radiology, Kantonsspital Winterthur, Switzerland aut NATIONALLICENCE 700 1- Adam Andreas Department of Diagnostic Radiology, Royal Postgraduate Medical School, Hammersmith Hospital, London, England aut NATIONALLICENCE 700 1- Antonucci Francesco Department of Radiology, Kantonsspital Winterthur, Switzerland aut NATIONALLICENCE 700 1- Stuckmann Gerd Department of Radiology, Kantonsspital Winterthur, Switzerland aut NATIONALLICENCE 700 1- Zollikofer Christoph Department of Radiology, Kantonsspital Winterthur, Switzerland aut NATIONALLICENCE 773 0- CardioVascular and Interventional Radiology Springer-Verlag 15/6(1992-11-01), 351-355 0174-1551 15:6<351 1992 15 270 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer