Potentials of endoscopic bilioduodenal stenting in treatment of neoplastic and fibrotic strictures of extrahepatic bile ducts
Abstract
Aim of investigation. To estimate efficacy of endoscopic bilioduodenal stenting in treatment of patients with neoplastic and postoperative scar stricture of extrahepatic bile ducts.
Materials and methods. Overall 372 patients have been included in the study. In 98,6% of the cases obstructive jaundice was the leading clinical sign of the disease. After verification of the diagnosis in all cases endoscopic bilioduodenal stenting was attempted.
Results. Of 42 patients with postoperative bile ducts stricture in 31 (73,8%) cases obstruction of bile outflow was possible to remove endoscopically. Complications have developed in 7,1% of cases, mortality was 2,4%. Good long-term results were obtained in 95,6% of cases. From 330 patients with neoplastic biliary occlusion in 234 (70,9%) stenting of bile duct was possible to execute. Complications have occurred in 38 (11,5%) of patients, mortality – was 14,1%.
Conclusions. Efficacy of bilioduodenal stenting in treatment of obstructive jaundice is up to 73,1%. At fibrotic postoperative strictures this method can be an alternative to surgery, at neoplastic strictures it can be applied for preparation for surgery or as final treatment.
About the Authors
S. G. Shapoval’yantsRussian Federation
A. G. Pan’kov
Russian Federation
A. G. Mylnikov
Russian Federation
S. A. Budzinsky
Russian Federation
S. Yu. Orlov
Russian Federation
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Review
For citations:
Shapoval’yants S.G., Pan’kov A.G., Mylnikov A.G., Budzinsky S.A., Orlov S.Yu. Potentials of endoscopic bilioduodenal stenting in treatment of neoplastic and fibrotic strictures of extrahepatic bile ducts. Russian Journal of Gastroenterology, Hepatology, Coloproctology. 2008;18(6):57-63. (In Russ.)
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