Unique ID issued by UMIN | UMIN000023573 |
---|---|
Receipt number | R000027151 |
Scientific Title | Study on the relation between cholangiography findings and patency of multiple metal stents at the hilar bile duct |
Date of disclosure of the study information | 2016/08/10 |
Last modified on | 2016/08/09 21:47:31 |
Study on the relation between cholangiography findings and patency of multiple metal stents at the hilar bile duct
ERC findings as a risk for stent dysfunction
Study on the relation between cholangiography findings and patency of multiple metal stents at the hilar bile duct
ERC findings as a risk for stent dysfunction
Japan |
Malignant biliary obstruction
Hepato-biliary-pancreatic medicine |
Malignancy
NO
Patients with perihilar obstruction
Efficacy
Stent patency
Observational
Not applicable |
Not applicable |
Male and Female
Patients who underwent endoscopic Multi-MS placement for malignant hilar biliary obstruction at our center between April 2007 and March 2015
Patients who were not followed up for more than 28 days after the procedure at our center
68
1st name | |
Middle name | |
Last name | Yoshihide Kanno |
Sendai City Medical Center
Department of Gastroenterology
5-22-1, Tsurugaya, Sendai, Miyagi
+81(0)22-252-1111
yoshi-hk@openhp.or.jp
1st name | |
Middle name | |
Last name | Yoshihide Kanno |
Sendai City Medical Center
Department of Gastroenterology
5-22-1, Tsurugaya, Sendai, Miyagi
+81(0)22-252-1111
yoshi-hk@openhp.or.jp
Sendai City Medical Center
None
Self funding
NO
2016 | Year | 08 | Month | 10 | Day |
Unpublished
Soft and fine surface texture of the perihilar malignancy in cholangiography was found to be a significant risk factor for a shorter time to dysfunction of multiple metal stents
Completed
2016 | Year | 08 | Month | 09 | Day |
2016 | Year | 08 | Month | 10 | Day |
Methods:
Among 97 patients who received multi-MS placement, 68 of them who were traceable for > 28 days were included and retrospectively analyzed. Univariate analyses with the log-rank test was carried out on twenty-four factors including two newly defined classifications of cholangiography: Classification A which classifies the rough image of the tumor (localized type [A1] or spreading type [A2]); and classification B which classifies the surface texture of the tumor (soft irregularity type [B1], solid irregularity type [B2], or smooth type [B3]).
Results:
Stent dysfunction occurred in 36 patients (53%) (median time, 209 days; 95%CI, 111-307) during the mean follow-up period of 277 days. The type B1 was a significant risk for short stent patency (median, 100 days in B1 [n = 18]; 231 in B2 [n = 38]; 356 in B3 [n = 12], p < 0.0001). In multivariate analysis, the type B1 was again the only independent factor among the 6 factors (male, classification A2 and B1, dysfunction of previously placed plastic stents, large number of previous interventions, active cholangitis, and chemotherapy not-performed) (HR 4.8, p < 0.001).
2016 | Year | 08 | Month | 09 | Day |
2016 | Year | 08 | Month | 09 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000027151