Third metal stent for revision of malignant hilar biliary strictures
- Authors
- Lee, Tae Hoon; Moon, Jong Ho; Choi, Hyun Jong; Lee, Yun Nah; Choi, Moon Han; Cha, Sang Woo; Cho, Young Deok; Park, Sang-Heum; Kim, Sun-Joo
- Issue Date
- Dec-2016
- Publisher
- Georg Thieme Verlag
- Keywords
- Third metal stent for revision of malignant hilar biliary strictures.
- Citation
- Endoscopy, v.48, no.12, pp 1129 - 1133
- Pages
- 5
- Journal Title
- Endoscopy
- Volume
- 48
- Number
- 12
- Start Page
- 1129
- End Page
- 1133
- URI
- https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/8561
- DOI
- 10.1055/s-0042-112574
- ISSN
- 0013-726X
1438-8812
- Abstract
- Background and study aim: Endoscopic stent-instent (SIS) placement of multiple metal stents is technically demanding. In the present study, we explored the technical feasibility and efficacy of endoscopic deployment of a third metal stent to create a triple SIS placement in patients with a bilateral SIS configuration for inoperable high grade malignant hilar biliary stricture (HBS) that had failed clinically. Methods: Eighteen patients with histologically proven inoperable HBS underwent deployment of an additional third metal stent as a revisionary method after early clinical failure following technically successful bilateral SIS placement using cross-wired metal stents. The main outcome measures were the technical and clinical success rates, and adverse events. Results: The overall technical and clinical success rates were 88.9% (16/18) and 87.5% (14/16), respectively. The early and late complications were cholangitis (n=2) and cholecystitis (n=1). Stent occlusion developed in 35.7% (5/14) of patients in whom a third metal stent for revision of a bilateral SIS configuration was clinically successful. The median (range) times for stent patency and patient survival were 176 days (49-372) and 216 days (52-384), respectively. Conclusions: Endoscopic deployment of an additional third metal stent into a bilateral SIS configuration was technically feasible and effective in patients with inoperable high grade malignant HBS in whom bilateral SIS placement had failed clinically.
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Collections - College of Medicine > Department of Internal Medicine > 1. Journal Articles
- College of Medicine > Department of Internal Medicine > 1. Journal Articles
- College of Medicine > Department of Internal Medicine > 1. Journal Articles
- College of Medicine > Department of Internal Medicine > 1. Journal Articles
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