Percutaneous Self-expandable Metallic Stent Placement for Cancer Recurrence at the Hepaticojejunostomy Site

Kyung Rae Kim, Ji Hoon Shin, Young Min Han, Hyo Sung Kwak, Dong Il La, Gi Young Ko, Dong Il Gwon, Hyun Ki Yoon, Kyu Bo Sung, Ho Young Song

Research output: Contribution to journalArticlepeer-review

5 Scopus citations

Abstract

Purpose: To evaluate long-term outcomes of patients receiving percutaneous stent placement for cancer recurrence at the anastomotic hepaticojejunostomy site after curative or palliative biliary surgery. Materials and Methods: Fourteen patients (mean age, 60.1 years; range, 43-81 years) who received stent placement for malignant biliary anastomotic recurrence were enrolled. The median interval between biliary surgery and stent placement was 21 months (range, 0.7-54 months). Technical success, complications, clinical success (ie, >30% decrease in serum bilirubin level 1 week after stent placement vs baseline), stent malfunction and management, stent patency, and patient survival were evaluated. Results: The 14 patients received a total of 20 stents without procedure-related complications at the time of initial stent placement. Six patients each required two stents to drain both lobes of the liver. Clinical success was achieved in 10 patients (71%), and an additional two patients showed a decrease in total bilirubin level that was less than 30% versus baseline measurement. Stent malfunction occurred in 10 stents in seven patients (50%) and was managed with interventional procedures such as percutaneous transhepatic biliary drainage, balloon dilation, or a second biliary stent placement. Median overall stent patency was 5.0 months (range, 0.7-60 months), and median survival time was 10.0 months (range, 0.7-60 months). Conclusion: Stent placement was feasible, safe, and effective in patients with cancer recurrence at the anastomotic hepaticojejunostomy site.

Original languageEnglish (US)
Pages (from-to)1454-1459
Number of pages6
JournalJournal of Vascular and Interventional Radiology
Volume19
Issue number10
DOIs
StatePublished - Oct 2008
Externally publishedYes

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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