Abstract:
BACKGROUND:Benign biliary strictures (BBS) have been endoscopically managed with placement of multiple plastic stents. Uncovered metal stents have been associated with mucosal hyperplasia and partially covered self-expandable metal stents with migration. Recently, fully covered self-expandable metal stents (CSEMSs) with anchoring fins have become available. OBJECTIVE:Our purpose was to analyze the efficacy and complication rates of CSEMSs in the treatment of BBS. DESIGN:CSEMSs (10-mm diameter) were placed in 44 patients with BBS. CSEMSs were left in place until adequate biliary drainage was achieved, confirmed by resolution of symptoms, normalization of liver function tests, and imaging. SETTING:Tertiary care center with long-standing experience with metal stents. PATIENTS:A total of 44 patients with BBS (28 men, median age 53.5 years) were included. The preprocedure diagnoses included chronic pancreatitis (n = 19), gallstone-related strictures (n = 14), post liver transplant (n = 9), autoimmune pancreatitis (n = 1), and primary sclerosing cholangitis (n = 1). INTERVENTION:ERCP with temporary CSEMS placement. Removal of CSEMSs was performed with a snare or rat tooth. MAIN OUTCOME MEASUREMENTS:Stricture resolution and morbidity. RESULTS:The median time of CSEMS placement was 3.3 months (interquartile range 3.0-4.8). Resolution of the BBS was confirmed in 34 of 41 patients (83%) after a median postremoval follow-up time of 3.8 months (interquartile range 1.2-7.7). Complications were observed in 6 (14%) patients after CSEMS placement and in 4 (9%) after CSEMS removal. LIMITATION:Pilot study from a single center. CONCLUSION:Temporary placement of CSEMSs for BBS may offer an alternative to plastic stenting. Further investigation is required to further assess safety and long-term efficacy.
journal_name
Gastrointest Endoscjournal_title
Gastrointestinal endoscopyauthors
Mahajan A,Ho H,Sauer B,Phillips MS,Shami VM,Ellen K,Rehan M,Schmitt TM,Kahaleh Mdoi
10.1016/j.gie.2008.11.029subject
Has Abstractpub_date
2009-08-01 00:00:00pages
303-9issue
2eissn
0016-5107issn
1097-6779pii
S0016-5107(08)02951-9journal_volume
70pub_type
杂志文章abstract:BACKGROUND:Ensuring competence remains a seminal objective of endoscopy training programs, professional organizations, and accreditation bodies; however, no widely accepted measure of endoscopic competence currently exists. OBJECTIVE:By using Delphi methodology, we aimed to develop and establish the content validity o...
journal_title:Gastrointestinal endoscopy
pub_type: 杂志文章
doi:10.1016/j.gie.2013.10.035
更新日期:2014-05-01 00:00:00
abstract::This prospective study compares the accuracy of barium enema examination performed by experienced radiologists to colonoscopy performed by experienced gastroenterologists blinded to the radiographic findings to detect proximal, synchronous lesions in patients with polyps detected during fiberoptic sigmoidoscopy. Three...
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更新日期:1991-09-01 00:00:00
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更新日期:2020-10-01 00:00:00
abstract:BACKGROUND:The ability to access the abdominal cavity though a direct (modified-PEG type) gastric incision to perform natural orifice transluminal endoscopic surgery (NOTES) has been demonstrated in the literature. However, the optimal technique to access the abdomen remains unknown. OBJECTIVE:The aim of this study wa...
journal_title:Gastrointestinal endoscopy
pub_type: 杂志文章
doi:10.1016/j.gie.2007.09.023
更新日期:2008-04-01 00:00:00
abstract:BACKGROUND:Although conventional endoscopy (CE) and EUS are considered useful for predicting the invasion depth (T-staging) in early gastric cancer (EGC), no effective diagnostic strategy has been established. OBJECTIVE:To produce simple CE criteria and to elucidate an efficient diagnostic method by combining CE and E...
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doi:10.1016/j.gie.2006.02.056
更新日期:2006-10-01 00:00:00
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journal_title:Gastrointestinal endoscopy
pub_type: 杂志文章
doi:10.1067/mge.2002.119731
更新日期:2002-01-01 00:00:00
abstract:BACKGROUND:Quality endoscopy reporting is essential when community endoscopists perform colonoscopies for veterans who cannot be scheduled at a Veterans Administration (VA) facility. OBJECTIVE:To examine the quality of colonoscopy reports received from community practices and to determine factors associated with more ...
journal_title:Gastrointestinal endoscopy
pub_type: 杂志文章
doi:10.1016/j.gie.2010.03.002
更新日期:2010-08-01 00:00:00
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journal_title:Gastrointestinal endoscopy
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更新日期:1998-12-01 00:00:00
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journal_title:Gastrointestinal endoscopy
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更新日期:2011-02-01 00:00:00
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journal_title:Gastrointestinal endoscopy
pub_type: 杂志文章
doi:10.1016/j.gie.2008.12.061
更新日期:2009-09-01 00:00:00
abstract:OBJECTIVE:Open-access endoscopy allows physicians who are not gastroenterologists to directly schedule patients for endoscopic procedures without having them first seen in the gastrointestinal clinic. We sought to determine the prevalence of open-access endoscopy in the United States and to examine endoscopists' attitu...
journal_title:Gastrointestinal endoscopy
pub_type: 杂志文章
doi:10.1016/s0016-5107(97)70204-9
更新日期:1997-07-01 00:00:00
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journal_title:Gastrointestinal endoscopy
pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:2002-01-01 00:00:00
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pub_type: 杂志文章,评审
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更新日期:2013-12-01 00:00:00
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journal_title:Gastrointestinal endoscopy
pub_type: 杂志文章
doi:10.1016/j.gie.2008.04.054
更新日期:2009-01-01 00:00:00
abstract:BACKGROUND AND AIMS:The clinical significance of a family history (FH) of colorectal cancer (CRC) in first-degree relatives (FDRs) in CRC screening stratified by different age groups of screened individuals is not fully understood. We investigated the relationship between FH and the presence of advanced colorectal neop...
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更新日期:2020-06-01 00:00:00
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pub_type: 杂志文章
doi:10.1016/s0016-5107(93)70263-1
更新日期:1993-11-01 00:00:00
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journal_title:Gastrointestinal endoscopy
pub_type: 临床试验,杂志文章,多中心研究
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更新日期:1999-02-01 00:00:00
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pub_type: 杂志文章
doi:10.1067/mge.2000.108625
更新日期:2000-10-01 00:00:00
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journal_title:Gastrointestinal endoscopy
pub_type: 杂志文章,meta分析,评审
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更新日期:2015-11-01 00:00:00
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pub_type: 杂志文章
doi:10.1067/mge.2002.122653
更新日期:2002-04-01 00:00:00
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pub_type: 杂志文章
doi:10.1016/s0016-5107(06)80108-2
更新日期:1996-02-01 00:00:00
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pub_type: 杂志文章
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更新日期:2004-05-01 00:00:00
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journal_title:Gastrointestinal endoscopy
pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:2001-05-01 00:00:00
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pub_type: 杂志文章
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更新日期:2012-07-01 00:00:00
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pub_type: 临床试验,杂志文章
doi:10.1067/mge.2001.111387
更新日期:2001-01-01 00:00:00
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pub_type: 杂志文章
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更新日期:2008-08-01 00:00:00
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journal_title:Gastrointestinal endoscopy
pub_type: 杂志文章
doi:10.1016/j.gie.2014.04.020
更新日期:2014-12-01 00:00:00