Percutaneous metallic stents in patients with obstructive jaundice due to hepatocellular carcinoma
DC Field | Value | Language |
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dc.contributor.author | Hong, Hyun Pyo | - |
dc.contributor.author | Kim, Seung Kwon | - |
dc.contributor.author | Seo, Tae-Seok | - |
dc.date.accessioned | 2021-09-09T08:50:55Z | - |
dc.date.available | 2021-09-09T08:50:55Z | - |
dc.date.created | 2021-06-10 | - |
dc.date.issued | 2008-05 | - |
dc.identifier.issn | 1051-0443 | - |
dc.identifier.uri | https://scholar.korea.ac.kr/handle/2021.sw.korea/123640 | - |
dc.description.abstract | PURPOSE: To evaluate the technical success and clinical efficacy of percutaneously placed self-expandable metallic stents in patients with obstructive jaundice due to hepatocellular carcinoma (HCC). MATERIALS AND METHODS: Fifteen men (mean age, 59.3 years) with obstructive jaundice resulting from HCC were treated with self-expandable metallic stents (28 stents in 19 sessions). The authors evaluated the technical success, clinical success (decrease of 30% of total serum bilirubin level or <2 mg/dL [34.2 mu mol/L]), treatment efficacy according to lowest total serum bilirubin level, complications, and duration of stent patency. RESULTS: Technical success was achieved in all patients. Clinical success was achieved in 11 of the 15 patients (73%). After stent placement, seven patients (47%) had a low bilirubin level (<2 mg/dL 134.2 mu mol/L]), three (20%) had an intermediate bilirubin level (2-10 mg/dL [34.2-171 mu mol/L]), and five (33%) had a high bilirubin level (>10 mg/dL [171 mu mol/L]). A low bilirubin level was achieved in all patients with Child-Pugh A disease and stage T2 or T3 HCC. Major complications such as hemobilia necessitating transfusion (n = 1) or abscess formation (n = 1) occurred in two of the 19 sessions (10%). The overall mean stent patency was 149.8 days (range, 12-790 days). The mean stent patency in patients with Child-Pugh class A disease (257.8 days) was significantly longer than that of patients with Child-Pugh class B and C disease (123.2 and 63 days, respectively) (P <.05). CONCLUSIONS: The percutaneous placement of a self-expandable metallic stent is a feasible and effective palliative treatment for patients with obstructive jaundice resulting from HCC, especially for those with Child-Pugh class A disease and stage T2 or T3 HCC. | - |
dc.language | English | - |
dc.language.iso | en | - |
dc.publisher | ELSEVIER SCIENCE INC | - |
dc.subject | MALIGNANT BILIARY OBSTRUCTION | - |
dc.subject | HILAR OBSTRUCTION | - |
dc.subject | DUCT | - |
dc.subject | HEPATOMA | - |
dc.subject | DRAINAGE | - |
dc.subject | CHOLANGIOGRAPHY | - |
dc.subject | ENDOPROSTHESES | - |
dc.subject | TUMOR | - |
dc.title | Percutaneous metallic stents in patients with obstructive jaundice due to hepatocellular carcinoma | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Seo, Tae-Seok | - |
dc.identifier.doi | 10.1016/j.jvir.2007.12.455 | - |
dc.identifier.scopusid | 2-s2.0-42649113727 | - |
dc.identifier.wosid | 000255622900018 | - |
dc.identifier.bibliographicCitation | JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY, v.19, no.5, pp.748 - 754 | - |
dc.relation.isPartOf | JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY | - |
dc.citation.title | JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY | - |
dc.citation.volume | 19 | - |
dc.citation.number | 5 | - |
dc.citation.startPage | 748 | - |
dc.citation.endPage | 754 | - |
dc.type.rims | ART | - |
dc.type.docType | Article | - |
dc.description.journalClass | 1 | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Radiology, Nuclear Medicine & Medical Imaging | - |
dc.relation.journalResearchArea | Cardiovascular System & Cardiology | - |
dc.relation.journalWebOfScienceCategory | Radiology, Nuclear Medicine & Medical Imaging | - |
dc.relation.journalWebOfScienceCategory | Peripheral Vascular Disease | - |
dc.subject.keywordPlus | MALIGNANT BILIARY OBSTRUCTION | - |
dc.subject.keywordPlus | HILAR OBSTRUCTION | - |
dc.subject.keywordPlus | DUCT | - |
dc.subject.keywordPlus | HEPATOMA | - |
dc.subject.keywordPlus | DRAINAGE | - |
dc.subject.keywordPlus | CHOLANGIOGRAPHY | - |
dc.subject.keywordPlus | ENDOPROSTHESES | - |
dc.subject.keywordPlus | TUMOR | - |
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