RT Journal Article
SR Electronic
T1 Randomised trial of endoscopic endoprosthesis versus operative bypass in malignant obstructive jaundice.
JF Gut
JO Gut
FD BMJ Publishing Group Ltd and British Society of Gastroenterology
SP 1132
OP 1135
DO 10.1136/gut.30.8.1132
VO 30
IS 8
A1 Andersen, J R
A1 Sørensen, S M
A1 Kruse, A
A1 Rokkjaer, M
A1 Matzen, P
YR 1989
UL http://gut.bmj.com/content/30/8/1132.abstract
AB In patients with obstructive jaundice caused by malignant stricture of the extrahepatic bile duct we compared survival time, complication rates, hospitalisation requirements, and quality of life after palliation by endoscopic endoprosthesis or bypass surgery. During diagnostic endoscopic cholangiography 50 patients were randomised to the two treatment alternatives. All 25 patients randomised to endoprosthesis were treated by this procedure, whereas only 19 of 25 patients randomised to bypass surgery underwent operative biliary-digestive anastomosis. Life table analysis revealed no difference in survival between treatment groups or randomisation groups. No differences were found when other variables were compared. We conclude, that palliation of obstructive jaundice in malignant bile duct obstruction with endoscopically introduced endoprosthesis is as effective as operative bypass.