ISSN: 1859 - 2872
Outcomes of endoscopic retrograde cholangiopancreatography for treatment of malignant biliary obstruction
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Abstract
Objective: To evaluate the results of endoscopic retrograde cholangiopancreatography (ERCP) biliary drainage stenting for patients suffering from malignant biliary obstruction. Subject and method: A prospective descriptive intervention study without control group, 88 inpatients suffering from malignant biliary obstruction who underwent ERCP biliary stenting at the Department of Gastroenterology, 108 Military Central Hospital from 10/2014 to 10/2018. Result: The technique was successful in 80/88 patients (90.9%) and functional drainage success rate was 80/80 (100.0%) patients. After stenting 17.5 days (median), 12/12 (100.0%) patients with preoperative biliary drainage were suitable for curative surgical resection. One month after stenting, in 68 palliative biliary drainage patients; clinical improvement was seen in majority of them and the serum total bilirubin level decreased > 75% or normalized in 57/68 (83.8%) patients. For long term results, the median of survival time was 175 days, the median of effective drainage time for metal stent and plastic stents was 266 days and 142 days respectively, statistically significant differrence (p<0.001). Conclusion: ERCP biliary stenting was effective for biliary drainage in patients with malignant biliary obstruction for both preoperative or palliative treatment.
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References
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