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Titolo:
Treatment of malignant and benign biliary obstructions with metal stents
Autore:
Hausegger, KA; Kugler, C;
Indirizzi:
Graz Univ, Radiol Klin, Klin Abt Spezielle Radiol & Sonstige Bildgebende, A-8036 Graz, Austria Graz Univ Graz Austria A-8036 Sonstige Bildgebende, A-8036 Graz, Austria
Titolo Testata:
ROFO-FORTSCHRITTE AUF DEM GEBIET DER RONTGENSTRAHLEN UND DER BILDGEBENDEN VERFAHREN
fascicolo: 4, volume: 172, anno: 2000,
pagine: 315 - 322
SICI:
1438-9029(200004)172:4<315:TOMABB>2.0.ZU;2-I
Fonte:
ISI
Lingua:
GER
Soggetto:
BILE-DUCT OBSTRUCTION; QUALITY-OF-LIFE; COVERED WALLSTENTS; STRICTURES; EXPERIENCE; ENDOPROSTHESES; PLACEMENT; DRAINAGE; MANAGEMENT; SURGERY;
Keywords:
biliary tract obstructions; therapy; metal prostheses; stents;
Tipo documento:
Review
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
49
Recensione:
Indirizzi per estratti:
Indirizzo: Hausegger, KA Graz Univ, Radiol Klin, Klin Abt Spezielle Radiol & SonstigeBildgebende, Auenbruggerpl 9, A-8036 Graz, Austria Graz Univ Auenbruggerpl9 Graz Austria A-8036 Graz, Austria
Citazione:
K.A. Hausegger e C. Kugler, "Treatment of malignant and benign biliary obstructions with metal stents", ROFO-F RONT, 172(4), 2000, pp. 315-322

Abstract

The palliative treatment of malignant bilary tract obstructions using a metal stent is now an established procedure in clinical practice, An endoscopic, transpapillary approach is the first choice for implantation of the stent. If it is not possible to insert the stent in this way, which is often the case with high obstructions, a percutaneous approach is chosen. It appears to be beneficial to use a metal stent with a fine-meshed net such as, for example, the Wall stent. Metal stents have a higher patency rate than plastic stents so that the primary choice of a metal stent is justified, Coated stents have not yet shown any major advantages. In cases of stent occlusion, the coaxial implantation of a plastic stent seems to be the most efficient. In cases of benign biliary tract stenoses, a metal stent should only be implanted after a careful evaluation of all possible surgical modalities and exploitation of balloon dilatation and long-term splinting methods.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 28/11/20 alle ore 12:02:31