From: Factors associated with patency of self-expandable metal stents in malignant biliary obstruction
Factors | Patent SEMS | SEMS dysfunction | Univariate | Multivariate | ||
---|---|---|---|---|---|---|
n = 77 | n = 37 | HR(95% CI) | P-value | HR (95% CI) | P-value | |
Antiplatelets use | 5 | 4 | 1.53 (0.54, 4.34) | 0.426 | ||
Ursodeoxycholic acid use | 12 | 8 | 1.23 (0.56, 2.71) | 0.602 | ||
Primary cancer | ||||||
Cholangiocarcinoma | 5 | 5 | 2.2 (0.8, 5.9) | 0.117 | ||
Other | 26 | 11 | 0.8 (0.4, 1.6) | 0.485 | ||
Pancreatic cancer | 46 | 21 | 1 | |||
Size of cancer, median (IQR) | 3.8 (3.0, 4.8) | 4.0 (2.8, 5.1) | 1.3 (1.1, 1.5) | 0.006 | 1.20 (1.02, 1.40) | 0.025 |
Length of stricture, median (IQR) | 4.0 (3.0, 5.0) | 4.0 (2.5, 4.0) | 0.9 (0.7, 1.1) | 0.231 | ||
Current treatment (chemo/ RT/ surgery) | 45 | 27 | 1.4 (0.7, 3.1) | 0.336 | ||
Presence of stones or sludge during SEMS placement | 10 | 13 | 2.86 (1.43, 5.72) | 0.003 | 3.91 (1.74, 8.75) | 0.001 |
Total bilirubin at 1 month after SEMS placement, mg/dL, median (IQR) | 1.6 (0.2–23) | 1.8 (0.4, 29.3) | 1.12 (1.05, 1.19) | 0.001 | 1.14 (1.06, 1.22) | < 0.001 |
Length of stent | ||||||
10–12 | 1 | 1 | 1.35 (0.18, 10.02) | 0.767 | 2.10 (0.27, 16.12) | 0.476 |
8 | 9 | 6 | 2.57 (1.05, 6.28) | 0.039 | 2.96 (1.06, 8.30) | 0.039 |
6 | 67 | 30 | 1 | 1 | ||
Liver disease | 5 | 5 | 2.49 (0.96, 6.45) | 0.060 | ||
Perioperative bacterial infection | 21 | 12 | 1.43 (0.72, 2.88) | 0.310 | ||
Proximal common bile duct | 5 | 3 | 1.43 (0.43, 4.67) | 0.559 | ||
Distal common bile duct | 66 | 27 | 0.49 (0.24, 1.02) | 0.056 | ||
More than one level of common bile duct obstruction | 25 | 9 | 1.29 (0.61, 2.74) | 0.506 | ||
Stent type | ||||||
FC-SEMS | 8 | 5 | 0.54 (0.17, 1.71) | 0.295 | ||
PC-SEMS | 63 | 25 | 0.53 (0.23, 1.22) | 0.135 | ||
UC-SEMS | 6 | 7 | 1 | |||
Change of total bilirubin: within 72 h, mg/dL, median (IQR) | -6.1 (-17.7, 3.1) | -2.2 (-15.7, 3.1) | 1.04 (0.96, 1.12) | 0.315 | ||
Change of total bilirubin at 1 month, mg/dL, median (IQR) | -10.5 (-31.4, 6.5) | -4.0 (-27.8, 20.9) | 1.03 (0.98,1.07) | 0.249 | ||
Stent insertion with difficulty | 4 | 6 | 2.35 (0.98, 5.66) | 0.056 |