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KMID : 0614619930250030531
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Korean Journal of Gastroenterology
1993 Volume.25 No. 3 p.531 ~ p.535
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Expandable Mentallic Stents : In the Banign Strictures of Intrahepatic Ducts in the patients with Primary Intrahepatic Stones
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김명환
이선영/박홍동/이성구/민영일/성규보/김병식/이승규
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Abstract
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We inserted self-expandable metallic stents in 16 patients with primary intrahepatic stones for the correction of intrahepatic strictures after complete removal of intrahepatic stones. All the patients had previous history of abdominal operations
for
removal of intrahepatic stones. The criteria for insertion of expandable metallic stents was recurrent stenosis after successful balloon dilatation. Inserted metallic stents were Gianturco-Rosch stents (24F) and the stents were inserted via
T-tube
or
percutaneous transhepatic biliary drainage (PTBD) track. In the follow-up period of average 12 months (9~15 months). 14 patients (88%) out of 16 patients had relief of pruritus and improvement of liver function. But two patients with secondary
biliary
cirrhosis showed no improvement of clinical symptoms and signs.
In conclusion these findings suggest that expandable metallic stents will be useful in the manage ment of intrahepatic stricutures, which recurred after successful balloon dilatation, in the patients with primary intrahepatic stones.
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KEYWORD
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