logo BDSP

Base documentaire


Votre avis nous intéresse

Le réseau BDSP met en oeuvre un projet d'innovation et d'amélioration de ses services, dans le souci constant de proposer des contenus de qualité adaptés aux besoins des utilisateurs.

Identifier de nouvelles sources de financements est la condition nécessaire pour assurer la poursuite et la pérennité de cet outil unique qu'est la BDSP, tout en le faisant évoluer.

Pour définir un nouveau modèle économique, nous avons besoin de votre avis : merci de répondre à notre enquête (temps estimé : 5 minutes).

Participer maintenant
Participer plus tard J'ai déjà participé

  1. Wallstents versus plastic stents in malignant biliary obstruction : Effects of stent patency of the first and second stent on patient compliance and survival.

    Article - En anglais

    Objectives 

    In prospective trials in patients with malignant biliary obstruction, it has been reported that Wallstents prolong stent patency, but this does not translate into a significant survival benefit.

    Compared with prospective trials, however, survival may be different in clinical practice because of differences in patient compliance.

    We report on a retrospective, long term analysis comparing Wallstents versus plastic stents.

    Methods 

    Plastic endoprostheses (70 patients) and endoscopic Wallstents (95 patients) were placed in 165 consecutive patients with irresectable, malignant biliary obstruction in a first (1990-91) and second (1992-93) time period.

    Stent occlusion was treated by plastic stent placement.

    Results 

    Patient characteristics were quite comparable in both stent groups.

    Initial placement of a Wallstent resulted in an increase of median stent patency of the first (10 vs 4 months, p<0.001) and second (8 vs 3 months, p<0.05) stent, a decrease of additional endoscopic procedures (20 vs 58%, p<0.005), an increase of patient compliance reflected by a decrease of patients dying with untreated stent occlusion (9 vs 30%, p<0.001), and an increase of survival time (6.5 vs 4 months, p<0.05).

    Conclusions 

    Initial placement of a Wallstent results in an increase of stent patency of the first and second stent.

    Duration of stent patency appears to have a determinant effect on patient compliance.

    Increased stent patency and patient compliance seem to ...

    Mots-clés Pascal : Tumeur maligne, Voie biliaire, Obstruction, Stent, Endoprothèse, Pronostic, Coût, Long terme, Survie, Homme, Suisse, Europe, Appareil digestif pathologie, Voie biliaire pathologie, Traitement instrumental, Traitement palliatif

    Mots-clés Pascal anglais : Malignant tumor, Biliary tract, Obstruction, Stent, Endoprosthesis, Prognosis, Costs, Long term, Survival, Human, Switzerland, Europe, Digestive diseases, Biliary tract disease, Instrumentation therapy

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 96-0234662

    Code Inist : 002B26F. Création : 199608.