Comparative Study between Plastic and Metallic Stents for Biliary Decompression in Patients with Distal Biliary Obstruction
This paper presents a retrospective comparison of plastic versus metallic stents in the drainage of malignant distal biliary obstructions. We compared single plastic stents (SPS), multiple plastic stents (MPS), and metallic stents (SEMS) regarding clinical decrease of TB < 2.0 mg/dL, long-term pa...
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| Format: | Article |
| Language: | English |
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Wiley
2017-01-01
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| Series: | Gastroenterology Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2017/7621821 |
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| author | João Guilherme G. Cabral Eloy Taglieri Adriane Pelosof Daniel Rosendo José Celso Ardengh |
| author_facet | João Guilherme G. Cabral Eloy Taglieri Adriane Pelosof Daniel Rosendo José Celso Ardengh |
| author_sort | João Guilherme G. Cabral |
| collection | DOAJ |
| description | This paper presents a retrospective comparison of plastic versus metallic stents in the drainage of malignant distal biliary obstructions. We compared single plastic stents (SPS), multiple plastic stents (MPS), and metallic stents (SEMS) regarding clinical decrease of TB < 2.0 mg/dL, long-term patency, and adverse event. 58 patients (38 women) with MDBO were included. Diagnoses were 44 pancreatic adenocarcinoma (74.6%), 9 metastasis (15.5%), 3 pancreatic neuroendocrine tumors (5.1%), and 2 adenocarcinoma in the major papilla (3.4%). The number of patients included in the SPS, MPS, and SEMS was 17, 6, and 35, respectively. Comparing the survival curves with respect to obstruction, we observed a lower mean permeability of the SPS compared to that of the MPS with p<0.003 and of the SEMS group (p<0.01). There was no statistical difference between the use of MPS, despite the small number of patients compared to the use of SEMS (p<0.13) to reach the satisfactory levels of bilirubin. |
| format | Article |
| id | doaj-art-3bd84611297c463cac17d027ed1f714e |
| institution | Kabale University |
| issn | 1687-6121 1687-630X |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Gastroenterology Research and Practice |
| spelling | doaj-art-3bd84611297c463cac17d027ed1f714e2025-02-03T06:11:44ZengWileyGastroenterology Research and Practice1687-61211687-630X2017-01-01201710.1155/2017/76218217621821Comparative Study between Plastic and Metallic Stents for Biliary Decompression in Patients with Distal Biliary ObstructionJoão Guilherme G. Cabral0Eloy Taglieri1Adriane Pelosof2Daniel Rosendo3José Celso Ardengh4Endoscopy Service of Hospital A. C. Camargo, São Paulo, SP, BrazilEndoscopy Service of Hospital A. C. Camargo, São Paulo, SP, BrazilEndoscopy Service of Hospital A. C. Camargo, São Paulo, SP, BrazilEndoscopy Service of Hospital A. C. Camargo, São Paulo, SP, BrazilEndoscopy Service of Hospital 9 de Julho, São Paulo, SP, BrazilThis paper presents a retrospective comparison of plastic versus metallic stents in the drainage of malignant distal biliary obstructions. We compared single plastic stents (SPS), multiple plastic stents (MPS), and metallic stents (SEMS) regarding clinical decrease of TB < 2.0 mg/dL, long-term patency, and adverse event. 58 patients (38 women) with MDBO were included. Diagnoses were 44 pancreatic adenocarcinoma (74.6%), 9 metastasis (15.5%), 3 pancreatic neuroendocrine tumors (5.1%), and 2 adenocarcinoma in the major papilla (3.4%). The number of patients included in the SPS, MPS, and SEMS was 17, 6, and 35, respectively. Comparing the survival curves with respect to obstruction, we observed a lower mean permeability of the SPS compared to that of the MPS with p<0.003 and of the SEMS group (p<0.01). There was no statistical difference between the use of MPS, despite the small number of patients compared to the use of SEMS (p<0.13) to reach the satisfactory levels of bilirubin.http://dx.doi.org/10.1155/2017/7621821 |
| spellingShingle | João Guilherme G. Cabral Eloy Taglieri Adriane Pelosof Daniel Rosendo José Celso Ardengh Comparative Study between Plastic and Metallic Stents for Biliary Decompression in Patients with Distal Biliary Obstruction Gastroenterology Research and Practice |
| title | Comparative Study between Plastic and Metallic Stents for Biliary Decompression in Patients with Distal Biliary Obstruction |
| title_full | Comparative Study between Plastic and Metallic Stents for Biliary Decompression in Patients with Distal Biliary Obstruction |
| title_fullStr | Comparative Study between Plastic and Metallic Stents for Biliary Decompression in Patients with Distal Biliary Obstruction |
| title_full_unstemmed | Comparative Study between Plastic and Metallic Stents for Biliary Decompression in Patients with Distal Biliary Obstruction |
| title_short | Comparative Study between Plastic and Metallic Stents for Biliary Decompression in Patients with Distal Biliary Obstruction |
| title_sort | comparative study between plastic and metallic stents for biliary decompression in patients with distal biliary obstruction |
| url | http://dx.doi.org/10.1155/2017/7621821 |
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