Table 3

Details of patients who failed to respond to first stent

Stent Diagnosis Age (y) Sex ASA Serum bilirubin (μmol/l) Follow up and outcome
CLPancreatic cancer84FII404Died of disease at 23 days without exchange
CLPancreatic cancer83MII350Died of disease at nine days without exchange
CLPancreatic cancer43FI120Investigator thought that original stent too long. Replaced with shorter non-study 11.5 Fr at seven days and had surgery
CLCholangiocarcinoma86FIII224Died of disease at 50 days in hospice, no exchange
TTPancreatic cancer48MI82Palliative choledochoduodenostomy at 14 days. Died 87 days poststent
TTCholangiocarcinoma78FIII122At seven days bilirubin 303; exchange. Stent not clogged but tip abutting wall of duct. Successful stent (TT) exchange. Patent for 145 days. Still alive at 607 days
TTPancreatic cancer70MII412Tumour involving D2. Died at 26 days before palliative bypass could be performed
TTPancreatic cancer81FII325Repeat ERCP at 12 days. Stent was occluded. Replaced non-study stent which worked for 97 days till death of patient
TTPancreatic cancer78MII171No improvement. Died at 13 days, without exchange, of anuric renal failure
TTPancreatic cancer84MII620Died of disease at 15 days, no exchange.
TTPancreatic cancer60FII260Had cholangitis poststenting but this responded to conservative treatment. Bilirubin failed to decrease. Died of disease at 27 days, without exchange
TTCholangiocarcinoma75FII114Had cholangitis poststenting and died of this at nine days, no exchange
TTPancreatic cancer72FII114Had perforation at first procedure. Treated conservatively. At 20 days exchanged stent for two non-study stents. Jaundice resolved but patient died nine days later (29 days post first stent)
TTPancreatic cancer86FII429Exchanged at 14 days. Original stent too short. Replaced with longer stent, jaundice resolved, survived 155 days