The survival and associated factors of six-month survival of patients with malignant distal biliary stricture following endoscopic biliary stent procedure
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Abstract
Objective: To evaluate the survival and factors related to survival over 6 months of patients with malignant biliary obstruction following endoscopic retrograde cholangiopancreatography. Subject and method: 79 patients with malignant biliary obstruction following stent placement via endoscopic retrograde cholangiopancreatography at the Department of Gastroenterology, Central Military Hospital 108 from January 2018 to March 2022. Non-controlled interventional and cross-sectional description designs, non-probability sample selection (convenience) were used. Result: Survival ≥ 6 months accounted for the highest rate (41.8%), the lowest was survival < 1 month (2.5%), the average was 187.6 ± 148.8 days. The survival ≥ 6 months was significantly reduced (p<0.05) in the groups with stage III and IV cancer; comorbidities, blood albumin < 30g/dL; cachexia; stent placement for palliative treatment; early and late complications following stent placement. Conclusion: The survival ≥ 6 months was high. Cancer stage III and IV, comorbidities, blood albumin, indication of stent placement for treatment, complications following stent placement using endoscopic retrograde cholangiopancreatography were able as factors to predict the survival ≥ 6 months of patients with malignant biliary obstruction following endoscopic retrograde cholangiopancreatography.
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