Cited 13 times in
Percutaneous placement of self-expandable metallic biliary stents in malignant extrahepatic strictures: indications of transpapillary and suprapapillary methods.
DC Field | Value | Language |
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dc.contributor.author | 유정식 | - |
dc.date.accessioned | 2019-11-11T05:20:23Z | - |
dc.date.available | 2019-11-11T05:20:23Z | - |
dc.date.issued | 2000 | - |
dc.identifier.issn | 1229-6929 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/171794 | - |
dc.description.abstract | OBJECTIVE: To compare the efficacy of suprapapillary and transpapillary methods of transhepatic biliary metallic stent placement in malignant biliary strictures and to specify the indications of each method applied. MATERIALS AND METHODS: Stents were placed in 59 patients. Strictures were categorized as type A (within 3 cm of the ampulla, n = 27), type B (over 3 cm from ampulla, n = 7), type C (within 3 cm of the bending portion, n = 9), or type D (over 3 cm above the bending portion, n = 16). The stenting method was suprapapillary in 34 cases and transpapillary in 25. The rates of initial and long-term patency and of early recurrence were compared. RESULTS: Initial patency rates for the suprapapillary and transpapillary methods were 1/7 (14.3%) and 20/20 (100%) respectively for type A (p <0.0001), 4/5 (80.0%) and 2/2 for type B, 3/7 (42.9%) and 2/2 for type C, and 15/16 (93.8%) and 0/0 for type D. Early recurrence rates were 7/30 (23.3%) using the suprapapillary method and 4/29 (13.8%) using the transpapillary method (p = 0.51). The long-term patency rate did not differ significantly according to either type (p = 0.37) or method (p = 0.62). CONCLUSION: For good initial patency, the transpapillary method is recommended for strictures of the distal extrahepatic duct near the ampulla and just above the bending portion. Long-term patency is not influenced by the stenting method employed. | - |
dc.description.statementOfResponsibility | open | - |
dc.language | English | - |
dc.publisher | Korean Society of Radiology | - |
dc.relation.isPartOf | Korean Journal of Radiology | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.subject.MESH | Bile Duct Neoplasms/complications | - |
dc.subject.MESH | Cholangiography | - |
dc.subject.MESH | Cholestasis, Extrahepatic/etiology | - |
dc.subject.MESH | Cholestasis, Extrahepatic/therapy* | - |
dc.subject.MESH | Digestive System Neoplasms/complications | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | Palliative Care/methods* | - |
dc.subject.MESH | Radiology, Interventional* | - |
dc.subject.MESH | Retrospective Studies | - |
dc.subject.MESH | Stents* | - |
dc.subject.MESH | Tomography, X-Ray Computed | - |
dc.title | Percutaneous placement of self-expandable metallic biliary stents in malignant extrahepatic strictures: indications of transpapillary and suprapapillary methods. | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Radiology (영상의학교실) | - |
dc.contributor.googleauthor | Deok Hee Lee | - |
dc.contributor.googleauthor | Jeong-Sik Yu | - |
dc.contributor.googleauthor | Jae Cheol Hwang | - |
dc.contributor.googleauthor | Ki Hwang Kim | - |
dc.identifier.doi | 10.3348/kjr.2000.1.2.65 | - |
dc.contributor.localId | A02500 | - |
dc.relation.journalcode | J02884 | - |
dc.identifier.eissn | 2005-8330 | - |
dc.identifier.pmid | 11752932 | - |
dc.contributor.alternativeName | Yu, Jeong Sik | - |
dc.contributor.affiliatedAuthor | 유정식 | - |
dc.citation.volume | 1 | - |
dc.citation.number | 2 | - |
dc.citation.startPage | 65 | - |
dc.citation.endPage | 72 | - |
dc.identifier.bibliographicCitation | Korean Journal of Radiology, Vol.1(2) : 65-72, 2000 | - |
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