2003
DOI: 10.1067/mge.2003.310
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Unilateral placement of metallic stents for malignant hilar obstruction: A prospective study

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Cited by 170 publications
(145 citation statements)
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“…The overall drainage response rate in this study was 63%, but the response rate was 89% for the subjects who met the abovementioned criteria. These subjects had a better response rate than those in earlier studies (49%-87%) [3,[13][14][15][16][17][18][19] . In addition, of the 29 patients who did not respond to the initial drainage, 24 (83%) did not meet the above criteria.…”
Section: Discussionmentioning
confidence: 54%
See 1 more Smart Citation
“…The overall drainage response rate in this study was 63%, but the response rate was 89% for the subjects who met the abovementioned criteria. These subjects had a better response rate than those in earlier studies (49%-87%) [3,[13][14][15][16][17][18][19] . In addition, of the 29 patients who did not respond to the initial drainage, 24 (83%) did not meet the above criteria.…”
Section: Discussionmentioning
confidence: 54%
“…In biliary obstruction in the hepatic hilum, effective drainage is difficult to achieve because of the anatomical complexity of the bile ducts. Various procedures of biliary drainage of hilar biliary obstruction have been performed: percutaneous or endoscopic routes [1][2][3][4][5] , plastic or metallic stents [6][7][8][9][10][11] , and unilateral or bilateral hepatic duct drainage [11][12][13][14][15][16][17][18][19][20][21] . However, no consensus has been reached on the optimal drainage strategy for treating biliary obstruction.…”
Section: Introductionmentioning
confidence: 99%
“…By contrast, the bile duct consists of isolated segments and not all of the bile ducts come together, so only an uncovered metallic stent may achieve full biliary drainage. However, as a result of tumor ingrowth or overgrowth, the insertion of an uncovered metallic stent alone cannot yield a satisfactory stent patency or patient survival time (11)(12).…”
Section: Introductionmentioning
confidence: 99%
“…Generally, if both lobes are imaged with contrast during cholangiography bilateral stenting reduces the potential sequelae of cholangitis in contaminated but undrained areas. If contrast does not contaminate both sides then unilateral stenting should be sufficient [10][11][12][13] .…”
Section: A) )mentioning
confidence: 99%
“…Recent reports describe the utility of magnetic resonance agnetic resonance cholangiopancreatography (�RCP) or C� imaging to guide (�RCP) or C� imaging to guide �RCP) or C� imaging to guide ) or C� imaging to guide or C� imaging to guide selection of the target lobe for subsequent endoscopic stenting, often without use of contrast [12,13] .…”
Section: A) )mentioning
confidence: 99%