Abstract:
BACKGROUND:Few reports have evaluated the effectiveness of laser-cut, covered, self-expandable metal stents (LC-CSEMS) for unresectable malignant distal biliary obstruction (MDBO) and whether reintervention is feasible after placement. We describe our experience with LC-CSEMS placement for unresectable MDBO. METHODS:Patients undergoing LC-CSEMS placement for unresectable MDBO from November 2014 to December 2018 were reviewed. Recurrent biliary obstruction (RBO), median time to RBO (TRBO), and reintervention were analyzed. RESULTS:52 patients who underwent LC-CSEMS placement for unresectable MDBO were included in the analysis. The RBO rate was 15 % and the median TRBO was 445 days. Reintervention was attempted in nine patients and stent removal was successful in eight patients. CONCLUSIONS:Our experience suggests the effectiveness of LC-CSEMS in patients with unresectable MDBO in terms of stent patency and feasibility of reintervention.
journal_name
Endoscopyjournal_title
Endoscopyauthors
Marui S,Uza N,Yamazaki H,Ota S,Nakamura T,Yoshida H,Okada H,Hirano T,Kuwada T,Sogabe Y,Tomono T,Matsumori T,Morita T,Nishikawa Y,Tsuda M,Maruno T,Shiokawa M,Kodama Y,Seno Hdoi
10.1055/a-1149-1700subject
Has Abstractpub_date
2020-08-01 00:00:00pages
664-668issue
8eissn
0013-726Xissn
1438-8812journal_volume
52pub_type
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