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A Journal on Surgery

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Minerva Chirurgica 2000 December;55(12):823-8

language: Italian

Results of the use of endoprostheses in the treatment of irretrievable common bile duct stones

De Palma G. D., Galloro G., Siciliano S., Magno L., Catanzano C.


Background. The value of endoprostheses for long term management of bile duct stones has not been formally established. A retrospective evaluation of results and complications of the insertion of biliary endoprostheses was performed in patients with endoscopic irretrievable bile duct stones.
Methods. From January 1990 to September 1999, 52 patients (19 men and 33 women; average age 76 years), underwent endoscopic biliary stenting for endoscopically irretrievable bile duct stones.
Results. Successful biliary drainage was achieved in 50/52 (96.1%) patients. Early complications occurred in 11.5% of cases. Over the long term follow-up (average follow-up=39.5 months) late complications occurred in 40.8% of cases, with 3 cases of biliary-related death.
Conclusions. For immediate bile duct drainage, endoprostheses proved a safe and effective alternative for treatment of patients with endoscopically irretrievable bile duct stones. Because of the risk of subsequent complications, its use as a definitive treatment should be confirmed to highly selected cases.

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