Distal malignant biliary obstruction: a prospective randomised trial comparing plastic and uncovered self-expanding metal stents in the palliation of symptomatic jaundice
S. Afr. j. surg. (Online)
; 56(1): 30-34, 2018. ilus
Artigo
em Inglês
| AIM (África)
| ID: biblio-1271006
Biblioteca responsável:
CG1.1
ABSTRACT
Background:
The aim of this study was to determine the safety and clinical effectiveness of 10Fr plastic biliary stents compared to uncovered self-expanding metal stents (SEMS) for palliative treatment of patients with inoperable extra-hepatic malignant biliary obstruction in a public hospital in South Africa.Methods:
From January 2009 to December 2013, 40 patients who were admitted to a tertiary academic centre because of distal malignant biliary obstruction were enrolled in a prospective randomized study. Patients were randomly assigned to receive an uncovered SEMS or a plastic stent deployed through the biliary stricture during endoscopic retrograde cholangiopancreatography (ERCP).Results:
Patient survival time in the two groups did not differ significantly (median SEMS 114 days; plastic 107 days). Stent failure was more common in the plastic stent group (7/19 vs. 1/21). The results became significant after 6 months of follow-up. There was no significant difference between the two groups in the incidence of serious adverse events.Conclusions:
SEMS had a longer duration of patency than plastic stents, which recommends their use in the palliative treatment of patients with biliary obstruction due to distal malignant biliary obstruction
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Base de dados:
AIM (África)
Assunto principal:
Pacientes
/
África do Sul
/
Cirrose Hepática Biliar
Tipo de estudo:
Ensaio clínico controlado
/
Fatores de risco
País/Região como assunto:
África
Idioma:
Inglês
Revista:
S. Afr. j. surg. (Online)
Ano de publicação:
2018
Tipo de documento:
Artigo