The biliary drainage for patients with obstructive jaundice due to hepatocellular carcinoma

Obstructive jaundice due to HCC often occurred when tumor was reached highly advanced stage. And HCC is sometimes prone to bleed, so it is very difficult to treat these HCC comparing with other malignant obstructive jaundice. We retrospectively investigated the significance of biliary drainage. In 1...

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Bibliographic Details
Published inKanzo Vol. 53; no. 11; pp. 734 - 740
Main Authors Arai, Kuniaki, Kaneko, Shuichi, Mizukoshi, Eishiro, Yamashita, Taro, Sakai, Yoshio, Kakinoki, Kaheita, Kitamura, Kazuya, Yamashita, Tatsuya, Sunagozaka, Hajime, Sakai, Akito, Honda, Masao, Kagaya, Takashi, Takatori, Hajime, Kawaguchi, Kazunori, Nomura, Yoshimoto, Ueda, Teruyuki
Format Journal Article
LanguageJapanese
Published The Japan Society of Hepatology 2012
Subjects
drainage
expandable metallic stent
hepatocellular carcinoma
obstructive jaundice
tube stent
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ISSN0451-4203
1881-3593
DOI10.2957/kanzo.53.734

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Summary:Obstructive jaundice due to HCC often occurred when tumor was reached highly advanced stage. And HCC is sometimes prone to bleed, so it is very difficult to treat these HCC comparing with other malignant obstructive jaundice. We retrospectively investigated the significance of biliary drainage. In 12 patients, 8 cases (66.7%) were successfully drainaged by endoscopically with no severe complication. Survival period after first drainage was relatively short (1.6 months), but after drainage, 10 cases (83.3%) could be treated by chemotherapy. And if the chemotherapy was effective, survival period was extended significantly (P<0.01). Therefore, we recommend that the biliary drainage should be performed.
ISSN:0451-4203
1881-3593
DOI:10.2957/kanzo.53.734