Evaluation of endoscopic biliary stenting for obstructive jaundice caused by hepatocellular carcinoma
AIM:To review the usefulness of endoscopic biliary stenting for obstructive jaundice caused by hepatocellular carcinoma and identify problems that may need to be addressed.METHODS:The study population consisted of 36 patients with obstructive jaundice caused by hepatocellular carcinoma(HCC)who under...
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| Veröffentlicht in: | World journal of gastroenterology : WJG 2014-06, Vol.20 (22), p.6968-6973 |
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| creator | Sugiyama, Gen Okabe, Yoshinobu Ishida, Yusuke Saitou, Fumihiko Kawahara, Ryuichi Ishikawa, Hiroto Horiuchi, Hiroyuki Kinoshita, Hisafumi Tsuruta, Osamu Sata, Michio |
| description | AIM:To review the usefulness of endoscopic biliary stenting for obstructive jaundice caused by hepatocellular carcinoma and identify problems that may need to be addressed.METHODS:The study population consisted of 36 patients with obstructive jaundice caused by hepatocellular carcinoma(HCC)who underwent endoscopic biliary stenting(EBS)as the initial drainage procedure at our hospital.The EBS technical success rate and drainage success rate were assessed.Drainage was considered effective when the serum total bilirubin level decreased by 50%or more following the procedure compared to the pre-drainage value.Survival time after the procedure and patient background characteristics were assessed comparatively between the successful drainage group(group A)and the non-successful drainage group(group B).The EBS stent patency duration in the successful drainage group(group A)was also assessed.RESULTS:The technical success rate was 100%for both the initial endoscopic nasobiliary drainage and EBS in all patients.Single stenting was placed in 21 patients and multiple stenting in the remaining 15 patients.The drainage successful rate was 75%and the median interval to successful drainage was 40 d(2-295 d).The median survival time was 150 d in group A and 22 d in group B,with the difference between the two groups being statistically significant(P<0.0001).There were no statistically significant differences between the two groups with respect to patient background characteristics,background liver condition,or tumor factors;on the other hand,the two groups showed statistically significant differences in patients without a history of hepatectomy(P=0.009)and those that received multiple stenting(P=0.036).The median duration of stent patency was 43 d in group A(2-757 d).No early complications related to the EBS technique were encountered.Late complications occurred in 13 patients(36.1%),including stent occlusion in 7,infection in 3,and distal migration in 3.CONCLUSION:EBS is recommended as the initial drainage procedure for obstructive jaundice caused by HCC,as it appears to contribute to prolongation of survival time. |
| doi_str_mv | 10.3748/wjg.v20.i22.6968 |
| format | Article |
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Okabe, Yoshinobu ; Ishida, Yusuke ; Saitou, Fumihiko ; Kawahara, Ryuichi ; Ishikawa, Hiroto ; Horiuchi, Hiroyuki ; Kinoshita, Hisafumi ; Tsuruta, Osamu ; Sata, Michio</creator><creatorcontrib>Sugiyama, Gen ; Okabe, Yoshinobu ; Ishida, Yusuke ; Saitou, Fumihiko ; Kawahara, Ryuichi ; Ishikawa, Hiroto ; Horiuchi, Hiroyuki ; Kinoshita, Hisafumi ; Tsuruta, Osamu ; Sata, Michio</creatorcontrib><description>AIM:To review the usefulness of endoscopic biliary stenting for obstructive jaundice caused by hepatocellular carcinoma and identify problems that may need to be addressed.METHODS:The study population consisted of 36 patients with obstructive jaundice caused by hepatocellular carcinoma(HCC)who underwent endoscopic biliary stenting(EBS)as the initial drainage procedure at our hospital.The EBS technical success rate and drainage success rate were assessed.Drainage was considered effective when the serum total bilirubin level decreased by 50%or more following the procedure compared to the pre-drainage value.Survival time after the procedure and patient background characteristics were assessed comparatively between the successful drainage group(group A)and the non-successful drainage group(group B).The EBS stent patency duration in the successful drainage group(group A)was also assessed.RESULTS:The technical success rate was 100%for both the initial endoscopic nasobiliary drainage and EBS in all patients.Single stenting was placed in 21 patients and multiple stenting in the remaining 15 patients.The drainage successful rate was 75%and the median interval to successful drainage was 40 d(2-295 d).The median survival time was 150 d in group A and 22 d in group B,with the difference between the two groups being statistically significant(P&lt;0.0001).There were no statistically significant differences between the two groups with respect to patient background characteristics,background liver condition,or tumor factors;on the other hand,the two groups showed statistically significant differences in patients without a history of hepatectomy(P=0.009)and those that received multiple stenting(P=0.036).The median duration of stent patency was 43 d in group A(2-757 d).No early complications related to the EBS technique were encountered.Late complications occurred in 13 patients(36.1%),including stent occlusion in 7,infection in 3,and distal migration in 3.CONCLUSION:EBS is recommended as the initial drainage procedure for obstructive jaundice caused by HCC,as it appears to contribute to prolongation of survival time.</description><identifier>ISSN: 1007-9327</identifier><identifier>EISSN: 2219-2840</identifier><identifier>DOI: 10.3748/wjg.v20.i22.6968</identifier><identifier>PMID: 24944490</identifier><language>eng</language><publisher>United States: Baishideng Publishing Group Inc</publisher><subject>Adult ; Aged ; Bil ; Bilirubin - blood ; Biomarkers - blood ; carcinoma ; Carcinoma, Hepatocellular - complications ; Carcinoma, Hepatocellular - mortality ; Cholangiopancreatography, Endoscopic Retrograde - adverse effects ; Cholangiopancreatography, Endoscopic Retrograde - instrumentation ; Cholangiopancreatography, Endoscopic Retrograde - mortality ; Drainage - adverse effects ; Drainage - instrumentation ; Drainage - mortality ; Female ; Hepatocellular ; Humans ; jaun-dice ; Jaundice, Obstructive - blood ; Jaundice, Obstructive - diagnosis ; Jaundice, Obstructive - etiology ; Jaundice, Obstructive - mortality ; Jaundice, Obstructive - therapy ; Kaplan-Meier Estimate ; Liver Neoplasms - complications ; Liver Neoplasms - mortality ; Male ; Middle Aged ; Obstructive ; Palliative Care ; Retrospective Studies ; Retrospective Study ; Risk Factors ; Stents ; Time Factors ; Treatment Outcome</subject><ispartof>World journal of gastroenterology : WJG, 2014-06, Vol.20 (22), p.6968-6973</ispartof><rights>2014 Baishideng Publishing Group Inc. All rights reserved. 2014</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c568t-96bdbe57fa00c6b296058555a2f4f3e9dbb46c5bc83c7363af8d05d14c699ea3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Uhttp://image.cqvip.com/vip1000/qk/84123X/84123X.jpg</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4051939/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4051939/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24944490$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sugiyama, Gen</creatorcontrib><creatorcontrib>Okabe, Yoshinobu</creatorcontrib><creatorcontrib>Ishida, Yusuke</creatorcontrib><creatorcontrib>Saitou, Fumihiko</creatorcontrib><creatorcontrib>Kawahara, Ryuichi</creatorcontrib><creatorcontrib>Ishikawa, Hiroto</creatorcontrib><creatorcontrib>Horiuchi, Hiroyuki</creatorcontrib><creatorcontrib>Kinoshita, Hisafumi</creatorcontrib><creatorcontrib>Tsuruta, Osamu</creatorcontrib><creatorcontrib>Sata, Michio</creatorcontrib><title>Evaluation of endoscopic biliary stenting for obstructive jaundice caused by hepatocellular carcinoma</title><title>World journal of gastroenterology : WJG</title><addtitle>World Journal of Gastroenterology</addtitle><description>AIM:To review the usefulness of endoscopic biliary stenting for obstructive jaundice caused by hepatocellular carcinoma and identify problems that may need to be addressed.METHODS:The study population consisted of 36 patients with obstructive jaundice caused by hepatocellular carcinoma(HCC)who underwent endoscopic biliary stenting(EBS)as the initial drainage procedure at our hospital.The EBS technical success rate and drainage success rate were assessed.Drainage was considered effective when the serum total bilirubin level decreased by 50%or more following the procedure compared to the pre-drainage value.Survival time after the procedure and patient background characteristics were assessed comparatively between the successful drainage group(group A)and the non-successful drainage group(group B).The EBS stent patency duration in the successful drainage group(group A)was also assessed.RESULTS:The technical success rate was 100%for both the initial endoscopic nasobiliary drainage and EBS in all patients.Single stenting was placed in 21 patients and multiple stenting in the remaining 15 patients.The drainage successful rate was 75%and the median interval to successful drainage was 40 d(2-295 d).The median survival time was 150 d in group A and 22 d in group B,with the difference between the two groups being statistically significant(P&lt;0.0001).There were no statistically significant differences between the two groups with respect to patient background characteristics,background liver condition,or tumor factors;on the other hand,the two groups showed statistically significant differences in patients without a history of hepatectomy(P=0.009)and those that received multiple stenting(P=0.036).The median duration of stent patency was 43 d in group A(2-757 d).No early complications related to the EBS technique were encountered.Late complications occurred in 13 patients(36.1%),including stent occlusion in 7,infection in 3,and distal migration in 3.CONCLUSION:EBS is recommended as the initial drainage procedure for obstructive jaundice caused by HCC,as it appears to contribute to prolongation of survival time.</description><subject>Adult</subject><subject>Aged</subject><subject>Bil</subject><subject>Bilirubin - blood</subject><subject>Biomarkers - blood</subject><subject>carcinoma</subject><subject>Carcinoma, Hepatocellular - complications</subject><subject>Carcinoma, Hepatocellular - mortality</subject><subject>Cholangiopancreatography, Endoscopic Retrograde - adverse effects</subject><subject>Cholangiopancreatography, Endoscopic Retrograde - instrumentation</subject><subject>Cholangiopancreatography, Endoscopic Retrograde - mortality</subject><subject>Drainage - adverse effects</subject><subject>Drainage - instrumentation</subject><subject>Drainage - mortality</subject><subject>Female</subject><subject>Hepatocellular</subject><subject>Humans</subject><subject>jaun-dice</subject><subject>Jaundice, Obstructive - blood</subject><subject>Jaundice, Obstructive - diagnosis</subject><subject>Jaundice, Obstructive - etiology</subject><subject>Jaundice, Obstructive - mortality</subject><subject>Jaundice, Obstructive - therapy</subject><subject>Kaplan-Meier Estimate</subject><subject>Liver Neoplasms - complications</subject><subject>Liver Neoplasms - mortality</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Obstructive</subject><subject>Palliative Care</subject><subject>Retrospective Studies</subject><subject>Retrospective Study</subject><subject>Risk Factors</subject><subject>Stents</subject><subject>Time Factors</subject><subject>Treatment Outcome</subject><issn>1007-9327</issn><issn>2219-2840</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVkU1rGzEQhkVpSZw0956Kjr2sO6uvlS6FEpI0EOgldyFptbbMWnKkXZf8-2iJa1pdRjDvvPPxIPSlhTXtmPz-Z7dZHwmsAyFroYT8gFaEtKohksFHtGoBukZR0l2iq1J2AIRSTi7QJWGKMaZghfzd0YyzmUKKOA3Yxz4Vlw7BYRvGYPIrLpOPU4gbPKSMky1Tnt0Ujh7vzBz74Dx2Zi6-x_YVb_3BTMn5cZxHk2siuxDT3nxGnwYzFn9zitfo-f7u-fZX8_T74fH251PjuJBTo4TtrefdYACcsEQJ4JJzbsjABupVby0TjlsnqeuooGaQPfC-ZU4o5Q29Rj_ebQ-z3fve1cGzGfUhh33dRCcT9P-ZGLZ6k46aAW8VVdXg28kgp5fZl0nvQ1nWMdGnueiWU8UEJaSrUniXupxKyX44t2lBL3B0haMrHF3h6AVOLfn673jngr80qoCePLcpbl7q0c8aBXJ5igOTTHHCYfnxlkn6Bqhwnzk</recordid><startdate>20140614</startdate><enddate>20140614</enddate><creator>Sugiyama, Gen</creator><creator>Okabe, Yoshinobu</creator><creator>Ishida, Yusuke</creator><creator>Saitou, Fumihiko</creator><creator>Kawahara, Ryuichi</creator><creator>Ishikawa, Hiroto</creator><creator>Horiuchi, Hiroyuki</creator><creator>Kinoshita, Hisafumi</creator><creator>Tsuruta, Osamu</creator><creator>Sata, Michio</creator><general>Baishideng Publishing Group Inc</general><scope>2RA</scope><scope>92L</scope><scope>CQIGP</scope><scope>W91</scope><scope>~WA</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20140614</creationdate><title>Evaluation of endoscopic biliary stenting for obstructive jaundice caused by hepatocellular carcinoma</title><author>Sugiyama, Gen ; Okabe, Yoshinobu ; Ishida, Yusuke ; Saitou, Fumihiko ; Kawahara, Ryuichi ; Ishikawa, Hiroto ; Horiuchi, Hiroyuki ; Kinoshita, Hisafumi ; Tsuruta, Osamu ; Sata, Michio</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c568t-96bdbe57fa00c6b296058555a2f4f3e9dbb46c5bc83c7363af8d05d14c699ea3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Bil</topic><topic>Bilirubin - blood</topic><topic>Biomarkers - blood</topic><topic>carcinoma</topic><topic>Carcinoma, Hepatocellular - complications</topic><topic>Carcinoma, Hepatocellular - mortality</topic><topic>Cholangiopancreatography, Endoscopic Retrograde - adverse effects</topic><topic>Cholangiopancreatography, Endoscopic Retrograde - instrumentation</topic><topic>Cholangiopancreatography, Endoscopic Retrograde - mortality</topic><topic>Drainage - adverse effects</topic><topic>Drainage - instrumentation</topic><topic>Drainage - mortality</topic><topic>Female</topic><topic>Hepatocellular</topic><topic>Humans</topic><topic>jaun-dice</topic><topic>Jaundice, Obstructive - blood</topic><topic>Jaundice, Obstructive - diagnosis</topic><topic>Jaundice, Obstructive - etiology</topic><topic>Jaundice, Obstructive - mortality</topic><topic>Jaundice, Obstructive - therapy</topic><topic>Kaplan-Meier Estimate</topic><topic>Liver Neoplasms - complications</topic><topic>Liver Neoplasms - mortality</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Obstructive</topic><topic>Palliative Care</topic><topic>Retrospective Studies</topic><topic>Retrospective Study</topic><topic>Risk Factors</topic><topic>Stents</topic><topic>Time Factors</topic><topic>Treatment Outcome</topic><toplevel>online_resources</toplevel><creatorcontrib>Sugiyama, Gen</creatorcontrib><creatorcontrib>Okabe, Yoshinobu</creatorcontrib><creatorcontrib>Ishida, Yusuke</creatorcontrib><creatorcontrib>Saitou, Fumihiko</creatorcontrib><creatorcontrib>Kawahara, Ryuichi</creatorcontrib><creatorcontrib>Ishikawa, Hiroto</creatorcontrib><creatorcontrib>Horiuchi, Hiroyuki</creatorcontrib><creatorcontrib>Kinoshita, Hisafumi</creatorcontrib><creatorcontrib>Tsuruta, Osamu</creatorcontrib><creatorcontrib>Sata, Michio</creatorcontrib><collection>中文科技期刊数据库</collection><collection>中文科技期刊数据库-CALIS站点</collection><collection>中文科技期刊数据库-7.0平台</collection><collection>中文科技期刊数据库-医药卫生</collection><collection>中文科技期刊数据库- 镜像站点</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>World journal of gastroenterology : WJG</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sugiyama, Gen</au><au>Okabe, Yoshinobu</au><au>Ishida, Yusuke</au><au>Saitou, Fumihiko</au><au>Kawahara, Ryuichi</au><au>Ishikawa, Hiroto</au><au>Horiuchi, Hiroyuki</au><au>Kinoshita, Hisafumi</au><au>Tsuruta, Osamu</au><au>Sata, Michio</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Evaluation of endoscopic biliary stenting for obstructive jaundice caused by hepatocellular carcinoma</atitle><jtitle>World journal of gastroenterology : WJG</jtitle><addtitle>World Journal of Gastroenterology</addtitle><date>2014-06-14</date><risdate>2014</risdate><volume>20</volume><issue>22</issue><spage>6968</spage><epage>6973</epage><pages>6968-6973</pages><issn>1007-9327</issn><eissn>2219-2840</eissn><abstract>AIM:To review the usefulness of endoscopic biliary stenting for obstructive jaundice caused by hepatocellular carcinoma and identify problems that may need to be addressed.METHODS:The study population consisted of 36 patients with obstructive jaundice caused by hepatocellular carcinoma(HCC)who underwent endoscopic biliary stenting(EBS)as the initial drainage procedure at our hospital.The EBS technical success rate and drainage success rate were assessed.Drainage was considered effective when the serum total bilirubin level decreased by 50%or more following the procedure compared to the pre-drainage value.Survival time after the procedure and patient background characteristics were assessed comparatively between the successful drainage group(group A)and the non-successful drainage group(group B).The EBS stent patency duration in the successful drainage group(group A)was also assessed.RESULTS:The technical success rate was 100%for both the initial endoscopic nasobiliary drainage and EBS in all patients.Single stenting was placed in 21 patients and multiple stenting in the remaining 15 patients.The drainage successful rate was 75%and the median interval to successful drainage was 40 d(2-295 d).The median survival time was 150 d in group A and 22 d in group B,with the difference between the two groups being statistically significant(P&lt;0.0001).There were no statistically significant differences between the two groups with respect to patient background characteristics,background liver condition,or tumor factors;on the other hand,the two groups showed statistically significant differences in patients without a history of hepatectomy(P=0.009)and those that received multiple stenting(P=0.036).The median duration of stent patency was 43 d in group A(2-757 d).No early complications related to the EBS technique were encountered.Late complications occurred in 13 patients(36.1%),including stent occlusion in 7,infection in 3,and distal migration in 3.CONCLUSION:EBS is recommended as the initial drainage procedure for obstructive jaundice caused by HCC,as it appears to contribute to prolongation of survival time.</abstract><cop>United States</cop><pub>Baishideng Publishing Group Inc</pub><pmid>24944490</pmid><doi>10.3748/wjg.v20.i22.6968</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adult Aged Bil Bilirubin - blood Biomarkers - blood carcinoma Carcinoma, Hepatocellular - complications Carcinoma, Hepatocellular - mortality Cholangiopancreatography, Endoscopic Retrograde - adverse effects Cholangiopancreatography, Endoscopic Retrograde - instrumentation Cholangiopancreatography, Endoscopic Retrograde - mortality Drainage - adverse effects Drainage - instrumentation Drainage - mortality Female Hepatocellular Humans jaun-dice Jaundice, Obstructive - blood Jaundice, Obstructive - diagnosis Jaundice, Obstructive - etiology Jaundice, Obstructive - mortality Jaundice, Obstructive - therapy Kaplan-Meier Estimate Liver Neoplasms - complications Liver Neoplasms - mortality Male Middle Aged Obstructive Palliative Care Retrospective Studies Retrospective Study Risk Factors Stents Time Factors Treatment Outcome |
| title | Evaluation of endoscopic biliary stenting for obstructive jaundice caused by hepatocellular carcinoma |
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