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Menschen A1.1 Lehrerhandbuch Pdf
Menschen A1.1 Lehrerhandbuch Pdf
Menschen A1.1 Lehrerhandbuch Pdf
Download Menschen A1.1 Lehrerhandbuch Pdf
Download Menschen A1.1 Lehrerhandbuch Pdf
Download Menschen A1.1 Lehrerhandbuch Pdf
Download Menschen A1.1 Lehrerhandbuch Pdf
Download Menschen A1.1 Lehrerhandbuch Pdf
Download Menschen A1.1 Lehrerhandbuch Pdf
2 Feb 2012 Menschen A1.1 Lehrerhandbuch Pdf.Self-expandable metallic stents in the management of cancer-related biliary obstruction.
The use of self-expandable metallic stents (SEMS) is becoming common in the palliation of malignant biliary strictures. However, the survival benefit of SEMS is still controversial in these patients. The aim of our study was to assess the role of SEMS in the palliative management of patients with malignant biliary obstruction in terms of biliary patency, complications, patient survival, and costs of care. We retrospectively reviewed the data of patients undergoing SEMS placement for malignant biliary strictures in 2 centers from January 2000 to November 2010. SEMS were placed in 34 patients who had persistent jaundice due to inoperable malignant biliary strictures despite previous failed biliary stenting and/or radiotherapy. Patient survival and overall costs of care were compared with that of a matched control group of patients who received palliative care without SEMS. At 6- and 12-month follow-up, no difference in overall survival could be demonstrated between the groups, but SEMS were found to be associated with a significantly increased risk of cholangitis. The rate of stent occlusion did not differ between the 2 groups. The mean overall costs of care per patient were significantly less in the stent group. The use of SEMS in patients with malignant biliary strictures is associated with a significantly higher risk of cholangitis and reduced costs of care but does not appear to be associated with a significant survival benefit.What’s Your Soul Purpose? Many People Can’t Say. They Just Know.
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