Effectiveness and Safety of Endoscopic Treatment of Benign Biliary Strictures Using a New Fully Covered Self Expandable Metal Stent
Joint Authors
Chavalitdhamrong, Disaya
Chauhan, Shailendra S.
Moezardalan, Koorosh
Wagh, Mihir S.
Draganov, Peter V.
Forsmark, Chris E.
Gupte, Anand R.
Nosler, Michael J.
Source
Diagnostic and Therapeutic Endoscopy
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-05-11
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Background.
In patients with benign biliary strictures, the use of fully covered self-expandable metal stents (SEMS) has been proposed as an alternative to plastic stenting, but high quality prospective data are sparse.
This study was performed to evaluate the long-term effectiveness and safety of a new fully covered SEMS for benign biliary strictures.
Methods.
All consecutive patients with benign biliary strictures were treated with placement of a fully covered SEMS (WallFlex) for 6 months.
Short- and long-term stricture resolution, adverse events, and ease of stent removal were recorded.
Results.
23 patients were enrolled.
Stricture etiology was chronic pancreatitis (14), postorthotopic liver transplant (4), idiopathic (4), and biliary stones (1).
All ERCPs were technically successful.
All stents were successfully removed.
Short-term stricture resolution was seen in 22/23 (96%) patients.
Long-term success was 15/18 (83.3%).
All 3 failures were patients with biliary strictures in the setting of chronic calcific pancreatitis.
Conclusions.
The use of the new SEMS for the treatment of benign biliary strictures led to short-term stricture resolution in the vast majority of patients.
Over a long-term followup the success rate appears favorable compared to historical results achieved with multiple plastic stenting, particularly in patients with chronic pancreatitis.
The study was registered with ClinicalTrials.gov (NCT01238900).
American Psychological Association (APA)
Wagh, Mihir S.& Chavalitdhamrong, Disaya& Moezardalan, Koorosh& Chauhan, Shailendra S.& Gupte, Anand R.& Nosler, Michael J.…[et al.]. 2013. Effectiveness and Safety of Endoscopic Treatment of Benign Biliary Strictures Using a New Fully Covered Self Expandable Metal Stent. Diagnostic and Therapeutic Endoscopy،Vol. 2013, no. 2013, pp.1-6.
https://search.emarefa.net/detail/BIM-452603
Modern Language Association (MLA)
Wagh, Mihir S.…[et al.]. Effectiveness and Safety of Endoscopic Treatment of Benign Biliary Strictures Using a New Fully Covered Self Expandable Metal Stent. Diagnostic and Therapeutic Endoscopy No. 2013 (2013), pp.1-6.
https://search.emarefa.net/detail/BIM-452603
American Medical Association (AMA)
Wagh, Mihir S.& Chavalitdhamrong, Disaya& Moezardalan, Koorosh& Chauhan, Shailendra S.& Gupte, Anand R.& Nosler, Michael J.…[et al.]. Effectiveness and Safety of Endoscopic Treatment of Benign Biliary Strictures Using a New Fully Covered Self Expandable Metal Stent. Diagnostic and Therapeutic Endoscopy. 2013. Vol. 2013, no. 2013, pp.1-6.
https://search.emarefa.net/detail/BIM-452603
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-452603