Indian Journal of Radiology Indian Journal of Radiology  

   Login   | Users online: 2950

Home Bookmark this page Print this page Email this page Small font sizeDefault font size Increase font size     

 

ABDOMINAL IMAGING Table of Contents   
Year : 2004  |  Volume : 14  |  Issue : 1  |  Page : 45-51
Hilar cholangiocarcinoma : Results of percutaneous stenting with self-expandable metal stents


Dept. of Radiology, Gastroenterology, Amrita Institute of Medical Sciences, Amrita Lane, Elamakkara, Cochin-682026, Kerala, India

Correspondence Address:
S Moorthy
Dept. of Radiology, Gastroenterology, Amrita Institute of Medical Sciences, Amrita Lane, Elamakkara, Cochin-682026, Kerala
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


Rights and PermissionsRights and Permissions

Objectives- The determine the success rate of deployment and long term patency of Gianturco Rosch metal stents in inoperable hilar cholangiocarcinomas and to evaluate the effectiveness of partial drainage in the palliation of jaundice in these patients. Materials and Methods : Over a period of two years, nine patients of inoperable hilar cholangiocarcinomas were referred for percutaneous biliary drainage and stent placement. All patients were put on internal external catheter drainage as aa first step prior to stenting. One patient, who had severe pre-existing cholangitis, died a few days after catheter drainage. Of the remaining eight patients, seven had only partial drainage of the liver. The segments or lobe with atrophy, portal vein occlusion or tumour infiltration were excluded. The eight patients received a total of 14 Gianturco Rosch Z-stents. There were no major procedure related complications and no evidence of cholangitis up to 30 days after discharge. Bilirubin levels in all patients dropped sharply following the stenting. On follow up, 2 patients had stent occlusions at 2 months, one patient at 6.5 months. One patient had a 11-month survival without stent occlusion. Cholangitis episodes on follow up were found to be uncommon and mild when present. Endoscopic insertion of a plastic stent through the metal stent was done in 3 patients with stent occlusion. Conclusions: Percutaneous deployment of Gianturco Rosch metal stents is safe, has a high success rate and provides adequate palliation even when few segments of the liver are not drained. Due to the relatively long survival of these patients, reinterventions may be required frequently.


[FULL TEXT] [PDF Not available]*
Print this article     Email this article

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
  Citation Manager
 Access Statistics
  Reader Comments
  Email Alert *
  Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed4235    
    Printed144    
    Emailed1    
    PDF Downloaded0    
    Comments [Add]    

Recommend this journal