The treatment of patients with metastasis from gastroinestinal tumars stenosing the bile ducts and causing jaundice is freqently difficult, due to general and local conditions of the patients. A series of 20 patients treated with percutaneous treatment for metastasis compression is reported. In 18 cases a percutaneous transhepatic drainage or an endoprothesis was positioned. All patients were foolowed-up for survival and quality of life. The average survival rate in patients treated with pre-stenotic PTBD was 89 days, 23 days in the trans-stenotic group and 154 days in the prosthesis group. In 9 cases self-sufficiency at dismission from the hospital was > 50%, whereas 4 of these patients had a self-sufficiency < 50% at the entrance. On the basis of these data the Authors propose the criteria of choice for the selection of patients to treat.
|Titolo:||Percutaneous treatment and quality of life in patients with metastatic cmpression and stenosis of the bile duct|
|Settore Scientifico Disciplinare:||Settore MED/18 - Chirurgia Generale|
|Data di pubblicazione:||1998|
|Appare nelle tipologie:||01 - Articolo su periodico|