Authors: Takaaki Hasegawa Koichiro Yamakado Haruyuki Takaki Atsuhiro Nakatsuka Junji Uraki Takashi Yamanaka Masashi Fujimori Shugo Mizuno Shuji Isaji Hajime Sakuma
Publish Date: 2015/05/20
Volume: 38, Issue: 6, Pages: 1515-1522
Abstract
From October 2001 to January 2013 13 patients underwent PV stent placement because of PV stenosis or occlusion caused by bile duct cancer n = 7 pancreatic cancer n = 5 or nodal metastasis n = 1 Technical success changes in PV pressure gradient and palliative prognostic index PPI scores before and after stent placement clinical outcomes and complications were evaluatedStent was successfully placed in all patients 100 13/13 lowering the mean PV pressure gradient from 124 ± 45 mmHg range 5–20 mmHg to 05 ± 09 mmHg range 0–3 mmHg p 0000001 Symptoms were improved in all but one patient 923 12/13 Although 10 patients 769 10/13 with prestent placement PPI scores lower than 6 mean 35 ± 17 range 0–5 were discharged from the hospital the other 3 with the prestent placement PPI of 6 or more mean 72 ± 16 range 6–95 died within 4 weeks range 17–28 days without discharge The median survival time of discharged patients was 123 days and it was 20 days in nondischarged patients p = 00001 A major procedurerelated complication of intraperitoneal hemorrhage occurred in one patient 77 1/13 No significant factor was detected for the occurrence of complication
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