Predictors for Occlusion of the First Inserted Metallic Stent in Patients with Malignant Biliary Obstruction

doi:10.4103/1319-3767.164204

科研成果详情

题名	Predictors for Occlusion of the First Inserted Metallic Stent in Patients with Malignant Biliary Obstruction
作者	Hong, Wandong1; Zhu, Yunfei 2; Dong, Yanyan3; Wu, Yanqing 4; Zhou, Mengtao5; Ni, Haizhen6
发表日期	2015-11
发表期刊	SAUDI JOURNAL OF GASTROENTEROLOGY 影响因子和分区
语种	英语
原始文献类型	Article
关键词	Biliary stent endoscopic retrograde cholangiopancreatography predictor malignant biliary obstruction stent occlusion
其他关键词	COMPETING RISK ; DRAINAGE ; PATENCY ; MULTICENTER ; STRICTURES ; MANAGEMENT ; CANCER ; MODEL
摘要	Background/Aims: Endoscopic biliary stent drainage plays an important role in the palliative treatment of malignant biliary obstruction. The aim of this study was to investigate predictors of occlusion of first metal inserted stent in patients with malignant biliary obstruction. Patients and Methods: The retrospective analysis was performed in 178 patients with malignant biliary obstruction. Factors associated with stent occlusion were analyzed by Cox regression analysis. Results: Median overall stent patency was 178 days. Total cumulative obstruction rate of the first stents during the follow up was 33%, 57%, 83%, and 96% at 90, 180, 360, and 720 days. Multivariate analysis revealed that hilar obstruction (hazard ratio [HR] = 3.26, 95% confidence interval [CI, 2.31-4.61), metastasis cancer (HR = 2.61, 95% CI, 1.79-3.80), and length of stent (HR = 1.74, 95% CI, 1.24-2.46) were independent predictors of stent occlusion. Conclusions: Hilar biliary stricture, metastatic cancer, and length of stent were important predictors of occlusion of first-inserted metal stent in patients with malignant biliary obstruction.
出版者	WOLTERS KLUWER MEDKNOW PUBLICATIONS
出版地	MUMBAI
ISSN	1319-3767
EISSN	1998-4049
卷号	21 期号:6 页码:386-390
DOI	10.4103/1319-3767.164204
页数	5
WOS类目	Gastroenterology & Hepatology
WOS研究方向	Gastroenterology & Hepatology
WOS记录号	WOS:000367089300008
收录类别	SCIE ; PUBMED ; SCOPUS
URL	查看原文
PubMed ID	26655134
PMC记录号	PMC4707807
SCOPUSEID	2-s2.0-84949558478
通讯作者地址	[Hong, Wandong]Department of Gastroenterology and Hepatology,First Affiliated Hospital,Wenzhou Medical University,No 2, Fu Xue Road,Wenzhou, Zhejiang,325 000,China
Scopus学科分类	Gastroenterology
引用统计	被引频次：4[WOS] [WOS记录] [WOS相关记录]
文献类型	期刊论文
条目标识符	https://kms.wmu.edu.cn/handle/3ETUA0LF/8254
专题	附属第一医院_肝胆外科附属第二医院第二临床医学院、附属第二医院、育英儿童医院附属第一医院_血管外科
通讯作者	Hong, Wandong
作者单位	1.Department of Gastroenterology and Hepatology,First Affiliated Hospital,Wenzhou Medical University,No 2, Fu Xue Road,Wenzhou, Zhejiang,325 000,China; 2.Department of Emergency Surgery,First Affiliated Hospital,Zhejiang Chinese Medical University,Hangzhou, Zhejiang,China; 3.Ultrasound,Second Affiliated Hospital,Wenzhou Medical University,Wenzhou, Zhejiang,China; 4.Department of Reproductive Medicine,Family Planning Research Institute,Tongji Medical College,Wuhan, Hubei,China; 5.Department of Hepatobiliary Surgery,First Affiliated Hospital,Wenzhou Medical University,Wenzhou, Zhejiang,China; 6.Department of Vascular Surgery,First Affiliated Hospital,Wenzhou Medical University,Wenzhou, Zhejiang,China
第一作者单位	附属第一医院
通讯作者单位	附属第一医院
第一作者的第一单位	附属第一医院
推荐引用方式 GB/T 7714	Hong, Wandong,Zhu, Yunfei,Dong, Yanyan,et al. Predictors for Occlusion of the First Inserted Metallic Stent in Patients with Malignant Biliary Obstruction[J]. SAUDI JOURNAL OF GASTROENTEROLOGY,2015,21(6):386-390.
APA	Hong, Wandong, Zhu, Yunfei, Dong, Yanyan, Wu, Yanqing, Zhou, Mengtao, & Ni, Haizhen. (2015). Predictors for Occlusion of the First Inserted Metallic Stent in Patients with Malignant Biliary Obstruction. SAUDI JOURNAL OF GASTROENTEROLOGY, 21(6), 386-390.
MLA	Hong, Wandong,et al."Predictors for Occlusion of the First Inserted Metallic Stent in Patients with Malignant Biliary Obstruction".SAUDI JOURNAL OF GASTROENTEROLOGY 21.6(2015):386-390.