Clinical Characteristics and Treatment Outcomes of Patients with Unresectable Cholangiocarcinoma in Thailand: Are there Differences Dependent on Stent Type?

  • Prachayakul, Varayu (Siriraj GI Endoscopy Center, Division of Gastroenterology, Faculty of Medicine, Siriraj Hospital, Mahidol University) ;
  • Chaisayan, Suthasinee (Department of Internal Medicine, Faculty of Medicine, Siriraj Hospital, Mahidol University) ;
  • Aswakul, Pitulak (Liver and Digestive Institute, Samitivej Sukhumvit Hospital) ;
  • Deesomsak, Morakod (Liver and Digestive Institute, Samitivej Sukhumvit Hospital)
  • Published : 2013.01.31


Cholangiocarcinoma, though very rare in Western countries, is one of the commonest liver malignancies in Southeast Asia, especially in Thailand. More than half of the patients present with advanced stage disease. Given the poor treatment outcomes of adjuvant therapeutic options, many patients undergo only biliary drainage for palliative treatment. Clinical characteristics and treatment outcomes after biliary stenting were here analyzed for a total of 224 uresectable cholangiocarcinoma cases, 58.9% in men. The mean age was 61.5 years. Hilar involvement was the most common location. The patients underwent biliary drainage using plastic and metallic stents equally, early stent occlusion being encountered in 21.4% and 10.7%, respectively. The median survival time was 4.93 months for patients who received plastic and 5.87 months for patients who received metallic stents.


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