Third metal stent for revision of malignant hilar biliary strictures.
Endoscopy
; 48(12): 1129-1133, 2016 Dec.
Article
em En
| MEDLINE
| ID: mdl-27487289
ABSTRACT
Background and study aim:
Endoscopic stent-in-stent (SIS) placement of multiple metal stents is technically demanding. In the present study, we explored the technical feasibility and efficacy of endoscopic deployment of a third metal stent to create a triple SIS placement in patients with a bilateral SIS configuration for inoperable high grade malignant hilar biliary stricture (HBS) that had failed clinically.Methods:
Eighteen patients with histologically proven inoperable HBS underwent deployment of an additional third metal stent as a revisionary method after early clinical failure following technically successful bilateral SIS placement using cross-wired metal stents. The main outcome measures were the technical and clinical success rates, and adverse events.Results:
The overall technical and clinical success rates were 88.9â% (16/18) and 87.5â% (14/16), respectively. The early and late complications were cholangitis (nâ=â2) and cholecystitis (nâ=â1). Stent occlusion developed in 35.7â% (5/14) of patients in whom a third metal stent for revision of a bilateral SIS configuration was clinically successful. The median (range) times for stent patency and patient survival were 176 days (49â-â372) and 216 days (52â-â384), respectively.Conclusions:
Endoscopic deployment of an additional third metal stent into a bilateral SIS configuration was technically feasible and effective in patients with inoperable high grade malignant HBS in whom bilateral SIS placement had failed clinically.
Buscar no Google
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Cuidados Paliativos
/
Neoplasias dos Ductos Biliares
/
Colangite
/
Colangiocarcinoma
/
Implantação de Prótese
/
Stents Metálicos Autoexpansíveis
/
Neoplasias da Vesícula Biliar
Tipo de estudo:
Clinical_trials
/
Etiology_studies
Limite:
Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Endoscopy
Ano de publicação:
2016
Tipo de documento:
Article