Endoscopic stenting for palliation of malignant biliary obstruction.

Abstract:

:Malignant biliary obstruction results in jaundice, often with symptoms that decrease the quality of life. Biliary stent placement has largely supplanted surgical bypass for palliation of malignant biliary obstruction. Traditional rigid plastic stents are commonly used, inexpensive and easily removed, although with limited duration of stent patency. Self-expandable metal stents (SEMS) attain larger luminal diameters and provide longer patency than traditional rigid plastic stents in patients with distal bile duct obstruction. SEMS are composed of a variety of metals and can be uncoated, partially covered, or fully covered. Data do not support a prolongation of patency with covered SEMS for distal obstruction, although they have the potential for removability. The data to support SEMS for palliation of hilar biliary obstruction are not as convincing and reintervention for stent occlusion can be difficult. In this article, the design and performance of expandable metal stents for treatment of malignant biliary obstruction will be reviewed.

journal_name

Expert Rev Med Devices

authors

Ferreira LE,Baron TH

doi

10.1586/erd.10.36

subject

Has Abstract

pub_date

2010-09-01 00:00:00

pages

681-91

issue

5

eissn

1743-4440

issn

1745-2422

journal_volume

7

pub_type

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