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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
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Background/Aim: There is little data on whether plastic stents with a larger diameter are patent for longer than small stents in patients with bile duct cancer. The aim of this study was to compare the stent survival between 7-French (Fr) and 10-Fr plastic stents and evaluate the factors affecting stent survival. Methods: Patients with biliary obstruction due to biliary tract cancer were enrolled at Yonsei University Wonju College of Medicine from January 2010 to October 2014. Results: A total of 215 patients (7-Fr:10-Fr = 89:126 patients) were retrospectively enrolled. The primary tumor sites were common bile duct (n = 111), hilar (n = 45), and ampulla of Vater (n = 59). Rates of stent migration and stent obstruction were not different between the two groups. The median duration of stent survival was 3.3 months in the 7-Fr group and 5.9 months in the 10-Fr group (p = 0.543). The diameter of the stent did not have an effect on stent survival (hazard ratio 1.11, 95% confidence interval 0.71-1.73, p = 0.649). Conclusions: 7-Fr and 10-Fr stents have similar rates of stent migration and stent obstruction. The stent survival of 7-Fr was not inferior to 10-Fr stents in the management of biliary tract cancer.
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참고문헌 (21)
참고문헌 신청
Andersen JR / 1989 / Randomised trial of endoscopic endoprosthesis versus operative bypass in malignant obstructive jaundice / Gut 30:1132~1135
Lee KJ / 2013 / Clinical advantages of a metal stent with an S-shaped anti-reflux valve in malignant biliary obstruction / Dig Endosc 25:308~312
Soehendra N / 1980 / Palliative bile duct drainage - a new endoscopic method of introducing a transpapillary drain / Endoscopy 12:8~11
Wagh MS / 2013 / Multicenter randomized trial of 10-French versus 11.5-French plastic stents for malignant biliary obstruction / Diagn Ther Endosc 2013:891915
Abraham NS / 2002 / Palliation of malignant biliary obstruction: a prospective trial examining impact on quality of life / Gastrointest Endosc 56:835~841
Lee KJ / 2013 / Clinical advantages of a metal stent with an S-shaped anti-reflux valve in malignant biliary obstruction / Dig Endosc 25:308~312
Soehendra N / 1980 / Palliative bile duct drainage - a new endoscopic method of introducing a transpapillary drain / Endoscopy 12:8~11
Wagh MS / 2013 / Multicenter randomized trial of 10-French versus 11.5-French plastic stents for malignant biliary obstruction / Diagn Ther Endosc 2013:891915
Abraham NS / 2002 / Palliation of malignant biliary obstruction: a prospective trial examining impact on quality of life / Gastrointest Endosc 56:835~841
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