Bridge to surgery using partially covered self-expandable metal stents (PCMS) in malignant biliary stricture: an acceptable paradigm?

Surgical Endoscopy
George H PopMichel Kahaleh

Abstract

Partially covered self-expanding metal stents (PCMS) have been extensively used for palliation of malignant distal biliary stricture. Many centers have been using them as a bridge to surgery (BTS) regardless of resectability with or without eventual neoadjuvant therapy. We analyzed the outcome of all patients receiving PCMS and subsequently referred for surgery in our institution. Our prospectively established pancreaticobiliary database was retrospectively analyzed to retrieve all patients with malignant biliary stricture who underwent PCMS placement and subsequently went for curative surgical attempt at our institution. Cancer type and staging, adverse events related to stent placement or surgery, type of surgery performed, time between stenting and surgery, length of postoperative hospitalization, and postoperative follow-up were recorded. 27 patients (21 men; median age 66 years, range 39-82 years) received PCMS. Indications for placement included biliary stricture related to pancreatic cancer (n=23) or other malignancies (n=4). Median time between stenting and surgery was 32 days (range 6-569 days). Median time of hospitalization post surgery was 7 days (1-40 days). All patients underwent exploratory laparoscopy, followed ...Continue Reading

References

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Citations

Feb 9, 2011·Journal of Gastroenterology and Hepatology·Mihir BakhruMichel Kahaleh
Oct 11, 2011·Advances in Therapy·Indu Srinivasan, Michel Kahaleh
Feb 16, 2013·Gastrointestinal Endoscopy·Patrick R PfauSarah A Rodriguez
Jul 4, 2012·Gastrointestinal Endoscopy Clinics of North America·Hiroyuki IsayamaKazuhiko Koike
Apr 19, 2013·Journal of Hepato-biliary-pancreatic Sciences·Richard Kozarek
Jun 15, 2011·Journal of Hepato-biliary-pancreatic Sciences·Eduardo A Bonin, Todd H Baron
Apr 5, 2013·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Kensuke KubotaAtsushi Nakajima
Jul 4, 2015·Journal of Gastroenterology·Junko Umeda, Takao Itoi
Apr 3, 2013·The American Journal of Gastroenterology·Lianne K CavellMark A Schattner
Jul 6, 2019·Gastrointestinal Endoscopy·Dong Wan SeoUNKNOWN Biliary SEMS During Neoadjuvant Therapy Study Group

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