Technical Feasibility and Revision Efficacy of the Sequential Deployment of Endoscopic Bilateral Side-by-Side Metal Stents for Malignant Hilar Biliary Strictures: A Multicenter Prospective Study
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Lee, Tae Hoon | - |
dc.contributor.author | Park, Do Hyun | - |
dc.contributor.author | Lee, Sang Soo | - |
dc.contributor.author | Choi, Hyun Jong | - |
dc.contributor.author | Lee, Jun Kyu | - |
dc.contributor.author | Kim, Tae Hyeon | - |
dc.contributor.author | Kim, Jong Hyeok | - |
dc.contributor.author | Jeong, Seok | - |
dc.contributor.author | Park, Sang-Heum | - |
dc.contributor.author | Moon, Jong Ho | - |
dc.date.accessioned | 2021-08-12T01:25:10Z | - |
dc.date.available | 2021-08-12T01:25:10Z | - |
dc.date.issued | 2013-02 | - |
dc.identifier.issn | 0163-2116 | - |
dc.identifier.issn | 1573-2568 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/13942 | - |
dc.description.abstract | Theoretically, the side-by-side bilateral placement of metal stents may be technically easier than stent-in-stent bilateral placement in stent revision. However, side-by-side placement can be technically challenging, as the deployment of the first stent can preclude the passage of the second stent. We explored the technical feasibility and revision efficacy of endoscopic bilateral side-by-side stent placement for malignant hilar biliary strictures. Forty-four patients with Bismuth type II or higher malignant hilar biliary strictures were enrolled in seven academic tertiary referral centers. Endoscopic placement of side-by-side bilateral metal stents with 7F thin delivery shaft was performed. The outcome measurements were the technical and functional success, adverse events, endoscopic revision success rate, and stent patency. Overall, the technical and functional success rates were 91 % (40/44), and 98 % (39/40), respectively. Two of the failed patients were converted successfully with subsequent contralateral stent-in-stent placement, and the other patients underwent percutaneous intervention. Early stent-related adverse events occurred in 10 %. The endoscopic revision rate due to stent malfunction during follow-up (median: 180 days) was 45 % (18/40; tumor ingrowth in 4 and in-stent sludge impaction/stone formation in 14 patients). The endoscopic revision success rate was 92 % (12/13). Five patients with comorbidity underwent initial percutaneous intervention. The median survival and stent patency periods were 180 and 157 days, respectively. The sequential placement of a metal stent with a 7F thin delivery shaft in bilateral side-by-side procedures may be feasible and effective for malignant hilar biliary strictures and for endoscopic stent revision. | - |
dc.format.extent | 9 | - |
dc.language | 영어 | - |
dc.language.iso | ENG | - |
dc.publisher | Kluwer Academic/Plenum Publishers | - |
dc.title | Technical Feasibility and Revision Efficacy of the Sequential Deployment of Endoscopic Bilateral Side-by-Side Metal Stents for Malignant Hilar Biliary Strictures: A Multicenter Prospective Study | - |
dc.type | Article | - |
dc.publisher.location | 네델란드 | - |
dc.identifier.doi | 10.1007/s10620-012-2346-6 | - |
dc.identifier.scopusid | 2-s2.0-84876314418 | - |
dc.identifier.wosid | 000315291100036 | - |
dc.identifier.bibliographicCitation | Digestive Diseases and Sciences, v.58, no.2, pp 547 - 555 | - |
dc.citation.title | Digestive Diseases and Sciences | - |
dc.citation.volume | 58 | - |
dc.citation.number | 2 | - |
dc.citation.startPage | 547 | - |
dc.citation.endPage | 555 | - |
dc.type.docType | Article | - |
dc.description.isOpenAccess | N | - |
dc.description.journalRegisteredClass | sci | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Gastroenterology & Hepatology | - |
dc.relation.journalWebOfScienceCategory | Gastroenterology & Hepatology | - |
dc.subject.keywordPlus | HEPATIC DUCT DRAINAGE | - |
dc.subject.keywordPlus | NEWLY DESIGNED STENT | - |
dc.subject.keywordPlus | 10 FRENCH GAUGE | - |
dc.subject.keywordPlus | ENDOPROSTHESIS INSERTION | - |
dc.subject.keywordPlus | OBSTRUCTION | - |
dc.subject.keywordPlus | PLACEMENT | - |
dc.subject.keywordPlus | PALLIATION | - |
dc.subject.keywordPlus | CHOLANGIOCARCINOMA | - |
dc.subject.keywordAuthor | Hilar bile duct obstruction | - |
dc.subject.keywordAuthor | Endoscopic retrograde cholangiopancreatography | - |
dc.subject.keywordAuthor | Side-by-side placement | - |
dc.subject.keywordAuthor | Endoscopic revision | - |
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.
(31538) 22, Soonchunhyang-ro, Asan-si, Chungcheongnam-do, Republic of Korea+82-41-530-1114
COPYRIGHT 2021 by SOONCHUNHYANG UNIVERSITY ALL RIGHTS RESERVED.
Certain data included herein are derived from the © Web of Science of Clarivate Analytics. All rights reserved.
You may not copy or re-distribute this material in whole or in part without the prior written consent of Clarivate Analytics.