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A Multicenter, Prospective Study of a New Fully Covered Expandable Metal Biliary Stent for the Palliative Treatment of Malignant Bile Duct Obstruction
المؤلفون المشاركون
Chen, Yang K.
Gluck, Michael
Edmundowicz, Steven
Petersen, Bret T.
Binmoeller, Kenneth
Kahaleh, Michel
Loren, David
Branch, Malcolm S.
Ross, William
Carr-Locke, David
Kozarek, Richard A.
Gupta, Kapil
Shah, Raj J.
Baron, Todd H.
Jowell, Paul
Freeman, Martin
Kowalski, Thomas
Kinney, Timothy
المصدر
Gastroenterology Research and Practice
العدد
المجلد 2013، العدد 2013 (31 ديسمبر/كانون الأول 2013)، ص ص. 1-7، 7ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2013-03-27
دولة النشر
مصر
عدد الصفحات
7
التخصصات الرئيسية
الملخص EN
Background and Study Aims.
Endoscopic placement of self-expanding metal stents (SEMSs) is indicated for palliation of inoperable malignant biliary obstruction.
A fully covered biliary SEMS (WallFlex Biliary RX Boston Scientific, Natick, USA) was assessed for palliation of extrahepatic malignant biliary obstruction.
Patients and Methods.
58 patients were included in this prospective, multicenter series conducted under an FDA-approved IDE.
Main outcome measurements included (1) absence of stent occlusion within six months or until death, whichever occurred first and (2) technical success, need for reintervention, bilirubin levels, stent patency, time to stent occlusion, and adverse events.
Results.
Technical success was achieved in 98% (57/58), with demonstrated acute removability in two patients.
Adequate clinical palliation until completion of followup was achievedin 98% (54/55) of evaluable patients, with 1 reintervention due to stent obstruction after 142 days.
Mean total bilirubin decreased from 8.9 mg/dL to 1.2 mg/dL at 1 month.
Device-related adverse events were limited and included 2 cases of cholecystitis.
One stent migrated following radiation therapy.
Conclusions.
The WallFlex Biliary fully covered stent yielded technically successful placement with uncomplicated acute removal where required, appropriate reduction in bilirubin levels, and low rates of stent migration and occlusion.
This SEMS allows successful palliation of malignant extrahepatic biliary obstruction.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Petersen, Bret T.& Kahaleh, Michel& Kozarek, Richard A.& Loren, David& Gupta, Kapil& Kowalski, Thomas…[et al.]. 2013. A Multicenter, Prospective Study of a New Fully Covered Expandable Metal Biliary Stent for the Palliative Treatment of Malignant Bile Duct Obstruction. Gastroenterology Research and Practice،Vol. 2013, no. 2013, pp.1-7.
https://search.emarefa.net/detail/BIM-487591
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Petersen, Bret T.…[et al.]. A Multicenter, Prospective Study of a New Fully Covered Expandable Metal Biliary Stent for the Palliative Treatment of Malignant Bile Duct Obstruction. Gastroenterology Research and Practice No. 2013 (2013), pp.1-7.
https://search.emarefa.net/detail/BIM-487591
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Petersen, Bret T.& Kahaleh, Michel& Kozarek, Richard A.& Loren, David& Gupta, Kapil& Kowalski, Thomas…[et al.]. A Multicenter, Prospective Study of a New Fully Covered Expandable Metal Biliary Stent for the Palliative Treatment of Malignant Bile Duct Obstruction. Gastroenterology Research and Practice. 2013. Vol. 2013, no. 2013, pp.1-7.
https://search.emarefa.net/detail/BIM-487591
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-487591
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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