scholarly journals Utilization of diabolo-shaped covered biliary stents in a refractory esophagus-colonic anastomotic stricture

Endoscopy ◽  
2016 ◽  
Vol 48 (S 01) ◽  
pp. E174-E176
Author(s):  
Rolando Pinho ◽  
Luísa Proença ◽  
Ana Ponte ◽  
Joana Silva ◽  
Jaime Rodrigues ◽  
...  
Keyword(s):  
Anastomotic Stricture ◽  
Biliary Stents

Early anastomotic stricture requiring endoscopic dilation after laparoscopic bariatric operations

2001 ◽  
Vol 120 (5) ◽  
pp. A488-A488
Author(s):  
T QUINN ◽  
K MILLER ◽  
J DECSEPEL ◽  
T FRANCONE ◽  
A WEISS ◽  
...  
Keyword(s):  
Anastomotic Stricture ◽  
Endoscopic Dilation

scholarly journals A85 THE CLINICAL IMPACT OF COVID-19 DELAYS ON PLASTIC BILIARY STENT REMOVAL IN NOVA SCOTIA

2021 ◽  
Vol 4 (Supplement_1) ◽  
pp. 54-56
Author(s):  
D R Lim ◽  
M Tsai ◽  
S E Gruchy ◽  
J Jones ◽  
G Williams ◽  
...  
Keyword(s):  
Survival Analysis ◽  
Nova Scotia ◽  
Stent Placement ◽  
Biliary Stent ◽  
Biliary Stents ◽  
Stent Occlusion ◽  
Stent Removal ◽  
Kaplan Meier ◽  
And Migration

Abstract Background The COVID-2019 pandemic continues to restrict access to endoscopy, resulting in delays or cancellation of non-urgent endoscopic procedures. A delay in the removal or exchange of plastic biliary stents may lead to stent occlusion with consensus recommendation of stent removal or exchange at three-month intervals [1–4]. We postulated that delayed plastic biliary stent removal (DPBSR) would increase complication rates. Aims We aim to report our single-centre experience with complications arising from DPBSR. Methods This was a retrospective, single-center, observational cohort study. All subjects who had ERCP-guided plastic biliary stent placement in Halifax, Nova Scotia between Dec 2019 and June 2020 were included in the study. DPBSR was defined as stent removal >=90 days from insertion. Four endpoints were assigned to patients: 1. Stent removed endoscopically, 2. Died with stent in-situ (measured from stent placement to documented date of death/last clinical encounter before death), 3. Pending removal (subjects clinically well, no liver enzyme elevation, not expired, endpoint 1 Nov 2020), and 4. Complication requiring urgent reintervention. Kaplan-Meier survival analysis was used to represent duration of stent patency (Fig.1). Results 102 (47.2%) had plastic biliary stents placed between 2/12/2019 and 29/6/2020. 49 (48%) were female, and the median age was 68 (R 16–91). Median follow-up was 167.5 days, 60 (58.8%) subjects had stent removal, 12 (11.8%) died before replacement, 21 (20.6%) were awaiting stent removal with no complications (median 230d, R 30–332), 9 (8.8%) had complications requiring urgent ERCP. Based on death reports, no deaths were related to stent-related complications. 72(70.6%) of patients had stents in-situ for >= 90 days. In this population, median time to removal was 211.5d (R 91-441d). 3 (4.2%) subjects had stent-related complications requiring urgent ERCP, mean time to complication was 218.3d (R 94–441). Stent removal >=90 days was not associated with complications such as occlusion, cholangitis, and migration (p=1.0). Days of stent in-situ was not associated with occlusion, cholangitis, and migration (p=0.57). Sex (p=0.275), cholecystectomy (p=1.0), cholangiocarcinoma (p=1.0), cholangitis (p=0.68) or pancreatitis (p=1.0) six weeks prior to ERCP, benign vs. malignant etiology (p=1.0) were not significantly associated with stent-related complications. Conclusions Plastic biliary stent longevity may have been previously underestimated. The findings of this study agree with CAG framework recommendations [5] that stent removal be prioritized as elective (P3). Limitations include small sample size that could affect Kaplan-Meier survival analysis. Despite prolonged indwelling stent time as a result of COVID-19, we did not observe an increased incidence of stent occlusion or other complications. Funding Agencies None

scholarly journals Use of a long-term metal stent in complex uretero-ileal anastomotic stricture

2011 ◽  
Vol 9 (4) ◽  
pp. 251-253 ◽  
Author(s):  
Mohammed N. Kabir ◽  
Christian Bach ◽  
Stefanos Kachrilas ◽  
Faruquz Zaman ◽  
Islam Junaid ◽  
...  
Keyword(s):  
Anastomotic Stricture ◽  
Metal Stent

Risk of Uretero-Intestinal Anastomotic Stricture in Orthotopic Bladder Substitution

1996 ◽  
Vol 27 (S 1) ◽  
pp. 61-64
Author(s):  
S. Roth ◽  
C. Weinstock ◽  
H. van Ahlen ◽  
A. Semjonow ◽  
D. Leusmann ◽  
...  
Keyword(s):  
Anastomotic Stricture ◽  
Bladder Substitution

Percutaneous Palliation of Pancreatic Head Cancer: Randomized Comparison of ePTFE/FEP–Covered Versus Uncovered Nitinol Biliary Stents

2010 ◽  
Vol 34 (2) ◽  
pp. 352-361 ◽  
Author(s):  
Miltiadis Krokidis ◽  
Fabrizio Fanelli ◽  
Gianluigi Orgera ◽  
Dimitrios Tsetis ◽  
Ioannis Mouzas ◽  
...  
Keyword(s):  
Pancreatic Head ◽  
Biliary Stents ◽  
Head Cancer ◽  
Pancreatic Head Cancer

Self-expanding stainless steel biliary stents.

Radiology ◽  
1989 ◽  
Vol 170 (3) ◽  
pp. 979-983 ◽  
Author(s):  
H G Coons
Keyword(s):  
Stainless Steel ◽  
Biliary Stents
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