Role of fully covered self-expandable metal stent for treatment of benign biliary strictures and bile leaks.

Korean Journal of Radiology : Official Journal of the Korean Radiological Society
Nonthalee PausawasadiRungsun Rerknimitr

Abstract

Endoscopic therapy by balloon dilation and placement of multiple large-bore plastic stents is the treatment of choice for benign biliary stricture. This approach is effective but it typically requires multiple endoscopic sessions given the short duration of stent patency. The endoscopic approach for treatment of bile leak involves the placement of a stent with or without biliary sphincterotomy. The self-expandable metal stent (SEMS) has traditionally been used for palliation of malignant biliary strictures given the long duration of stent patency owing to their larger stent diameter. Recently, SEMS has been used in a variety of benign biliary strictures and leaks, especially with the design of the covered self-expandable metal stent (CSEMS), which permits endoscopic-mediated stent removal. The use of CSEMS in benign biliary stricture could potentially result in a decrease in endoscopic sessions and it is technically easier when compared to placement of multiple plastic stents. However, complications such as cholecystitis due to blockage of cystic duct, stent migration, infection and pancreatitis have been reported. The potential subsegmental occlusion of contralateral intrahepatic ducts also limits the use of CSEMS in hilar str...Continue Reading

References

Feb 11, 1998·AJR. American Journal of Roentgenology·K A HauseggerJ Lammer
Apr 30, 2002·Gastrointestinal Endoscopy·Peter DraganovJohn Cunningham
Jun 7, 2002·Journal of Vascular and Interventional Radiology : JVIR·Mario BezziPlinio Rossi
Dec 9, 2004·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Jennifer G Hall, Theodore N Pappas
Jan 14, 2005·European Journal of Gastroenterology & Hepatology·Djuna L CahenMarco J Bruno
Feb 25, 2005·Gastrointestinal Endoscopy·Arthur John KaffesMichael John Bourke
May 25, 2005·Transplant International : Official Journal of the European Society for Organ Transplantation·Andreas Pascher, Peter Neuhaus
Mar 7, 2006·Journal of Vascular and Interventional Radiology : JVIR·Michael D KuoSteven L Ferrara
Nov 22, 2007·The American Journal of Gastroenterology·Alberto LarghiGuido Costamagna
Mar 12, 2008·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·F VandenbrouckeA Roy
Mar 10, 2009·Digestive Diseases and Sciences·Henry HoMichel Kahaleh
Oct 31, 2009·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Mario TrainaBruno Gridelli
Dec 19, 2009·BMC Gastroenterology·Petra G A van BoeckelPeter D Siersema
Jul 16, 2010·Gastrointestinal Endoscopy·Gregory A CotéRiad R Azar
Jul 24, 2010·World Journal of Gastroenterology : WJG·Hoi-Poh TeeArthur J Kaffes
Oct 26, 2010·Transplantation Proceedings·F García-PajaresA Caro-Patón
Apr 2, 2011·World Journal of Gastrointestinal Endoscopy·Wiriyaporn RidtitidPinit Kullavanijaya
Jun 7, 2011·Journal of Hepato-biliary-pancreatic Sciences·Bing HuXiao-Ming Yang
Jun 21, 2011·Gastrointestinal Endoscopy Clinics of North America·Vincenzo PerriGuido Costamagna
Jun 21, 2011·Gastrointestinal Endoscopy Clinics of North America·Mihir R Bakhru, Michel Kahaleh
Jul 26, 2011·AJR. American Journal of Roentgenology·Alampady Krishna Prasad ShanbhogueMatthew McInnes

❮ Previous
Next ❯

Citations

Feb 26, 2016·Clinical Endoscopy·Hyeong Seok Nam, Dae Hwan Kang
Jul 17, 2013·World Journal of Gastrointestinal Endoscopy·David LalezariViktor Ernst Eysselein
Dec 14, 2019·BMC Gastroenterology·Andrea TringaliUNKNOWN Benign Biliary Stenoses Working Group
Jun 3, 2020·The American Journal of Gastroenterology·Dina S Ahmad, Ashley Faulx
Sep 15, 2020·Journal of Gastroenterology and Hepatology·Tae Hoon LeeSang-Heum Park

❮ Previous
Next ❯

Related Concepts

Related Feeds

Atopic Dermatitis

Atopic dermatitis is a chronic inflammatory genetically determined disease of the skin marked by increased ability to form reagin (IgE), with increased susceptibility to allergic rhinitis and asthma, and hereditary disposition to a lowered threshold for pruritus. Discover the latest research on atopic dermatitis here.