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- W615388546 abstract "From October 1994 to October 1995, five inoperable patients with malignant biliary obstruction were treated with a total of percutaneously inserted self-expandable metallic endoprostheses for palliative biliary drainage. Successful placement of expandable metallic stent (EMS) was achieved in all patients without complication. The biliary obstruction of bilateral hepatic ducts due to hepatic hilar bile duct cancer was treated with two EMSs through the bilateral percutaneous transhepatic routes. The verage period of external or internal catheter free without jaundice was four months, which was shorter than those with other conventional methods such as plastic stents. Main cause of reobstruction was tumor ingrowth or proximal overgrowth after EMS insertion. Therefore, patients with reobstruction after EMS placement were treated again with EMS (stent in stent). According to these results, the patients treated with EMS require the additional treatments to prolong the effect of EMS internal drainage. We have managed such patients with the microwave tissue coagulation against the malignant biliary obstruction through the roue of percutaneous transhepatic biliary drainage in addition to EMS. The preliminary result shows the feasibility of microwave coagulation therapy to prolong the period of catheter free and jaundice free." @default.
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- W615388546 date "1997-01-01" @default.
- W615388546 modified "2023-10-16" @default.
- W615388546 title "EXPANDABLE METALLIC STENT FOR MALIGNANT BILIARY OBSTRUCTION AND MANAGEMENT FOR RE-OBSTRUCTION" @default.
- W615388546 doi "https://doi.org/10.3919/ringe1963.58.182" @default.
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