Fifty-three @entity1 with @entity253 caused by unresectable @entity5 were treated by attempted insertion of an endoprosthesis by the percutaneous-endoscopic route. This was successful in 50 @entity1 . A single endoprosthesis was inserted in each case. Both right and left hepatic duct decompression were obtained in 31 @entity1 , but only unilateral or segmental drainage was achieved in 19 @entity1 . Procedure-related complications occurred in 18 (36%) @entity1 , and 15 (30%) @entity1 died within 30 days of the procedure. Satisfactory resolution of @entity1087 was obtained in 26 (84%) @entity1 with bilateral decompression and in 12 (63%) of those with unilateral drainage. The 30-day mortality rate was 26% for @entity1 with bilateral and 37% for those with unilateral drainage. The morbidity rate from @entity255 after endoprosthesis insertion was 10% after bilateral and 32% after unilateral drainage. None of these differences was statistically significant. Surviving @entity1 with satisfactory bile drainage were relieved of symptoms such as @entity111 . The combined percutaneous-endoscopic technique enables difficult @entity253 to be intubated. Although bilateral duct drainage is preferable, the palliation is often worthwhile even when segmental ducts alone are drained.

Percutaneous-endoscopic placement of endoprostheses for relief of XXXX caused by inoperable bile duct strictures.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity1087 :: ('MESH:D007565', 'Disease') :: ['jaundice'] @entity5 :: ('MESH:D009369', 'Disease') :: ['malignancy'] @entity111 :: ('MESH:D011537', 'Disease') :: ['pruritus'] @entity253 :: ('MESH:D001660', 'Disease') :: ['biliary obstruction', 'biliary strictures'] @entity255 :: ('MESH:D002761', 'Disease') :: ['cholangitis']
@entity1087 :: (MESH:D007565,Disease) :: ['jaundice']
