Endoscopic Biliary Stent: Experience in 57 Patients with Various Biliary Problems at Songklanagarind Hospital

Authors

  • Prinya Soontrapornchai Department pf Surgery, Songklanagarind Hospital, Prince of Songkla University, Hatyai, Songkla, Thailand 90112
  • Theera Piruthvisuth Department of Medicine, Songklanagarind Hospital, Prince of Songkla University, Hatyai, Songkla, Thailand 90112
  • Bancha Ovartlarnporn Department of Medicine, Songklanagarind Hospital, Prince of Songkla University, Hatyai, Songkla, Thailand 90112

Abstract

We report our experience in management and follow-up of 57 patients with biliary obstruction treated by endoscopic stent insertion or combined percutaneous and endoscopic technique between 1990 and 1995. There were 40 patients with malignant diseases and 17 patients with benign diseases. The stent was successfully inserted in 28 cases (70%) of malignant obstruction and in 17 cases (100%) of benign obstruction. Jaundice was improved in 88.9% in malignant group. Clinical improvement was achieved in 82% in benign group. Early complications occurred in 13 cases (benign = 4, malignant = 9). The mortality rate was 5.26 per cent with procedure-related mortality of 1.75 per cent. Median survival available in 23 patients with malignant obstruction was 11 weeks and 25 per cent survived more than 6 months. Endoscopic stent insertion is an alternative in the therapeutic options available. The procedure is a useful and safe method in the treatment of malignant and benign biliary obstruction but its role as compared with surgery in terms of efficacy, cost and quality of life in our setting remains to be evaluated in controlled study.

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Published

1995-06-30

How to Cite

1.
Soontrapornchai P, Piruthvisuth T, Ovartlarnporn B. Endoscopic Biliary Stent: Experience in 57 Patients with Various Biliary Problems at Songklanagarind Hospital. Thai J Surg [Internet]. 1995 Jun. 30 [cited 2024 Nov. 23];16(1):1-7. Available from: https://he02.tci-thaijo.org/index.php/ThaiJSurg/article/view/250187

Issue

Vol. 16 No. 1 (1995): January - June

Section

Special Article

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Articles must be contributed solely to The Thai Journal of Surgery and when published become the property of the Royal College of Surgeons of Thailand. The Royal College of Surgeons of Thailand reserves copyright on all published materials and such materials may not be reproduced in any form without the written permission.