Difficult removal of fully covered Self Expandable Metal Stents (SEMS) for benign biliary strictures: The “SEMS in SEMS” technique

2014 ◽  
Vol 46 (6) ◽  
pp. 568-571 ◽  
Author(s):  
Andrea Tringali ◽  
Daniel Blero ◽  
Ivo Boškoski ◽  
Pietro Familiari ◽  
Vincenzo Perri ◽  
...  
Keyword(s):  
Metal Stents ◽  
Biliary Strictures ◽  
Benign Biliary Strictures

Self-Expanding Metal Stents in Benign Biliary Strictures Due to Chronic Pancreatitis

Endoscopy ◽  
2004 ◽  
Vol 36 (05) ◽  
pp. 381-384 ◽  
Author(s):  
A. van Berkel ◽  
D. Cahen ◽  
D. van Westerloo ◽  
E. Rauws ◽  
K. Huibregtse ◽  
...  
Keyword(s):  
Chronic Pancreatitis ◽  
Metal Stents ◽  
Biliary Strictures ◽  
Benign Biliary Strictures ◽  
Self Expanding Metal Stents

scholarly journals Temporary Placement of Fully Covered Self-expandable Metal Stents in Benign Biliary Strictures

2013 ◽  
Vol 62 (1) ◽  
pp. 49 ◽  
Author(s):  
Choong Heon Ryu ◽  
Myung-Hwan Kim ◽  
Sang Soo Lee ◽  
Do Hyun Park ◽  
Dong-Wan Seo ◽  
...  
Keyword(s):  
Metal Stents ◽  
Biliary Strictures ◽  
Benign Biliary Strictures

Temporary Placement of Fully Covered Self-Expandable Metal Stents (CSEMS) in Benign Biliary Strictures (BBS): Does Etiology of Stricture Matter?

2009 ◽  
Vol 69 (5) ◽  
pp. AB140 ◽  
Author(s):  
Bryan Sauer ◽  
Kara A. Regan ◽  
Henry C. Ho ◽  
Anshu Mahajan ◽  
Melissa S. Phillips ◽  
...  
Keyword(s):  
Metal Stents ◽  
Biliary Strictures ◽  
Benign Biliary Strictures

Long-term outcomes of covered self-expandable metal stents for treating benign biliary strictures

Endoscopy ◽  
2016 ◽  
Vol 48 (05) ◽  
pp. 447-447 ◽  
Author(s):  
Jin-Seok Park ◽  
Sang Lee ◽  
Tae Song ◽  
Do Park ◽  
Dong-Wan Seo ◽  
...  
Keyword(s):  
Metal Stents ◽  
Biliary Strictures ◽  
Long Term Outcomes ◽  
Benign Biliary Strictures

147 Preliminary Results From a 187 Patient Multicenter Prospective Trial Using Metal Stents for Treatment of Benign Biliary Strictures

2012 ◽  
Vol 75 (4) ◽  
pp. AB123 ◽  
Author(s):  
Jacques M. Deviere ◽  
D. Nageshwar Reddy ◽  
Andreas Puspok ◽  
Thierry Ponchon ◽  
Marco J. Bruno ◽  
...  
Keyword(s):  
Prospective Trial ◽  
Metal Stents ◽  
Biliary Strictures ◽  
Preliminary Results ◽  
Benign Biliary Strictures

scholarly journals Benign Biliary Strictures: A Systematic Review on Endoscopic Treatment Options

Diagnostics ◽  
2020 ◽  
Vol 10 (4) ◽  
pp. 221
Author(s):  
May Y.W. Wong ◽  
Payal Saxena ◽  
Arthur J. Kaffes
Keyword(s):  
Endoscopic Treatment ◽  
Treatment Options ◽  
Treatment Algorithm ◽  
Treatment Strategies ◽  
Stent Migration ◽  
Metal Stents ◽  
Biliary Cirrhosis ◽  
Biliary Strictures ◽  
Benign Biliary Strictures ◽  
Biodegradable Stents

Benign biliary strictures can be difficult to manage. Untreated biliary strictures can lead to complications, such as chronic cholestasis, jaundice, recurrent sepsis, and secondary biliary cirrhosis, which can have severe ramifications. The management landscape is constantly evolving, with the development of modifiable self-expandable metal stents and biodegradable stents. This review critically appraises current endoscopic treatment strategies, in particular focusing on the shortfalls, such as stent migration and stricture recurrence. It also proposes a treatment algorithm based on aetiologias and the location of the strictures.

A prospective study of fully covered metal stents for different types of refractory benign biliary strictures

Endoscopy ◽  
2020 ◽  
Vol 52 (05) ◽  
pp. 368-376 ◽  
Author(s):  
Tatsuya Sato ◽  
Hirofumi Kogure ◽  
Yousuke Nakai ◽  
Kazunaga Ishigaki ◽  
Ryunosuke Hakuta ◽  
...  
Keyword(s):  
Adverse Events ◽  
Prospective Study ◽  
Endoscopic Management ◽  
Metal Stents ◽  
Biliary Strictures ◽  
Surgically Altered Anatomy ◽  
Anastomotic Strictures ◽  
Benign Biliary Strictures ◽  
Long Term Treatment ◽  
Stricture Recurrence

Abstract Background While endoscopic management of benign biliary strictures (BBSs) is the standard of care, long-term treatment remains the issue in refractory cases, especially for anastomotic strictures after living-donor liver transplantation (LDLT) and hepaticojejunostomy anastomotic strictures (HJAS). The aim of this prospective study was to evaluate the safety and effectiveness of a fully covered self-expandable metal stent (FCSEMS) for patients with refractory BBSs. Methods Patients with BBSs that were unamenable to endoscopic plastic stent placement with a treatment period of more than 6 months were eligible. An FCSEMS was placed endoscopically and removed after 90 days. In patients with surgically altered anatomy, an FCSEMS was placed using a double-balloon endoscope. The primary outcome was stricture resolution at FCSEMS removal. The secondary outcomes included stricture recurrence and adverse events. Results A total of 30 patients were enrolled: the causes of their BBSs were anastomotic stricture after LDLT in 13, HJAS in 12, post-cholecystectomy in two, chronic pancreatitis in two, and post-hepatectomy in one. The technical success rate of FCSEMS placement was 100 % and all FCSEMSs were successfully removed. The rate of stricture resolution at FCSEMS removal was 96.6 % (91.7 % in the post-LDLT group and 100 % in the HJAS group). Stricture recurrence occurred in three HJAS patients (10.7 %) during a median follow-up period of 15.6 months. Adverse events were observed in 12.1 %: five cholangitis, one pancreatitis, and one perforation. Conclusion Temporary placement of an FCSEMS was a feasible and effective treatment option for refractory BBSs, especially for post-LDLT strictures and HJAS.

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