J Korean Radiol Soc.  1986 Feb;22(1):19-26. 10.3348/jkrs.1986.22.1.19.

Biliary endoprosthesis

• Kwon JH
• Kim YS
• Jang BW
• Kim TH
• Kim YJ
• Kang DS
• Whang I

• KMID: 2462364
• DOI: http://doi.org/10.3348/jkrs.1986.22.1.19

Abstract

Biliary endoprosthesis could provide permanent internal biliary drainage inpatient with obstructive jaundicewith advantages of absence of troublesome external catheter and no loss of fluid, bile and electrolytes overexternal drainage. Incidence of sepsis and cholangitis may be lowered. Endoprosthesis was performed in 18 patientsof obstructive jaundice from January, 1985 to december, 1985 at Department of Radilogy, Kyungpook NationalUniversity Hospital. The results are as follows: 1. The cases of obstructive jaundice included bile duct cancer in11, stomach ca. metastasis in 3, ca. of ampulla of Vater in 1, ca. of head of pancresas in 1, CBD cancer withpostop. recurrenced in 1, and impacted CBD stone in 1 case. 2. The levels of obstruction were at the trifurcationin 8, CHD in 5, proximal CBD in 3, and distal CBD in 2 cases. 3. Decline of serum bilirubin level was noted in 15cases with the most rapid decline wihtin 1 week after the procedure. 4. The complication occurred in 5 cases. Thethree cases were recovered spontaneously, but one died of bile peritonitis, another experienced obstrution ofendoprosthesis. 5. The endoprosthesis is benificial intreatment of obstructive jaundice for which surgery is notindicated, and saving expensive abdominal surgery and less advantageous percutaneous external drainage, henceenhancing life quality.

MeSH Terms

Ampulla of Vater
Bile
Bile Duct Neoplasms
Bilirubin
Catheters
Cholangitis
Drainage
Electrolytes
Gyeongsangbuk-do
Head
Humans
Incidence
Inpatients
Jaundice, Obstructive
Neoplasm Metastasis
Peritonitis
Quality of Life
Sepsis
Stomach
Bilirubin
Electrolytes