scholarly journals EUS-guided antegrade stenting using a braided metal stent with a 6-Fr novel slim delivery system for malignant biliary stricture following Roux-en-Y reconstruction (with video)

2020 ◽  
Vol 9 (2) ◽  
pp. 141
Author(s):  
Hirofumi Harima ◽  
Seiji Kaino ◽  
Yuko Fujimoto ◽  
Shogo Amano ◽  
Isao Sakaida
Keyword(s):  
Delivery System ◽  
Biliary Stricture ◽  
Metal Stent ◽  
Malignant Biliary Stricture

scholarly journals Endoscopic Sphincterotomy before Fully Covered Metal Stent Placement Is Not Required for Distal Malignant Biliary Stricture due to a Pancreatic Head Tumor

2019 ◽  
Vol 2019 ◽  
pp. 1-6
Author(s):  
Kazunari Nakahara ◽  
Yosuke Michikawa ◽  
Ryo Morita ◽  
Keigo Suetani ◽  
Nozomi Morita ◽  
...  
Keyword(s):  
Adverse Events ◽  
Endoscopic Sphincterotomy ◽  
Biliary Stricture ◽  
Pancreatic Head ◽  
Stent Migration ◽  
Success Rates ◽  
Tumor Treatment ◽  
Metal Stent ◽  
Malignant Biliary Stricture ◽  
Pancreatic Head Tumor

Background/Aims. Endoscopic sphincterotomy (EST) is often performed before fully covered self-expandable metal stent (FCSEMS) placement in order to prevent pancreatitis. However, it is not clear whether EST prevents pancreatitis or affects other adverse events (AEs). This study is conducted to evaluate the necessity of EST before FCSEMS placement for distal malignant biliary strictures due to a pancreatic head tumor. Methods. This study included 68 patients who underwent FCSEMS placement for distal malignant biliary stricture due to a pancreatic head tumor. Treatment outcomes and AEs were retrospectively compared between 32 patients with EST before FCSEMS placement (EST group) and 36 patients without EST (non-EST group). Results. The success rates of drainage for the EST and non-EST groups were 100% and 97.2%, respectively (P=0.95). The incidence of pancreatitis in the EST and non-EST groups was 3.1% and 0%, respectively (P=0.95). The incidence of hyperamylasemia in the EST and non-EST groups was 12.5% and 13.9%, respectively (P=0.85). The incidence of all AEs in the EST and non-EST groups was 15.6% (pancreatitis: 1, cholecystitis: 2, and stent migration: 2) and 13.9% (cholecystitis: 3, stent migration: 2), respectively (P=0.89). Conclusions. EST before FCSEMS placement for distal malignant biliary stricture due to a pancreatic head tumor does not affect the successful drainage and incidence of adverse events. The necessity of EST to prevent pancreatitis before FCSEMS placement was deemed low.

scholarly journals Su1385 EUS-GUIDED GALLBLADDER DRAINAGE FOR ACUTE CHOLECYSTITIS AFTER METAL STENT PLACEMENT FOR UNRESECTABLE MALIGNANT BILIARY STRICTURE

2018 ◽  
Vol 87 (6) ◽  
pp. AB333
Author(s):  
Fumisato Kozakai ◽  
Yoshihide Kanno ◽  
Kei Ito ◽  
Shinsuke Koshita ◽  
Takahisa Ogawa ◽  
...  
Keyword(s):  
Acute Cholecystitis ◽  
Stent Placement ◽  
Biliary Stricture ◽  
Metal Stent ◽  
Gallbladder Drainage ◽  
Malignant Biliary Stricture

Mortality in patients undergoing covered self-expandable metal stent revisions in malignant biliary stricture: Does pathology matter?

2010 ◽  
Vol 42 (11) ◽  
pp. 803-806 ◽  
Author(s):  
Anshu Mahajan ◽  
Henry Ho ◽  
Animesh Jain ◽  
Michele E. Rehan ◽  
Patrick G. Northup ◽  
...  
Keyword(s):  
Biliary Stricture ◽  
Metal Stent ◽  
Malignant Biliary Stricture ◽  
Self Expandable Metal Stent

Endoscopic Insertion of Metal Stent for Malignant Biliary Stricture

1992 ◽  
Vol 12 (5) ◽  
pp. 505-508
Author(s):  
Mohamed A. AI-Karawi ◽  
Suleiman I. Suleiman
Keyword(s):  
Biliary Stricture ◽  
Metal Stent ◽  
Endoscopic Insertion ◽  
Malignant Biliary Stricture

scholarly journals Newly Developed Fully Covered Metal Stent for Unresectable Malignant Biliary Stricture

2010 ◽  
Vol 2010 ◽  
pp. 1-4 ◽  
Author(s):  
Kei Ito ◽  
Naotaka Fujita ◽  
Yutaka Noda ◽  
Go Kobayashi ◽  
Takashi Obana ◽  
...  
Keyword(s):  
Bile Duct ◽  
Biliary Stricture ◽  
Stent Migration ◽  
Metal Stents ◽  
Metal Stent ◽  
First Case ◽  
Node Metastases ◽  
Duct Cancer ◽  
Malignant Biliary Stricture ◽  
Duct Stricture

We herein report two patients with unresectable malignant biliary stricture who underwent stenting with a newly developed fully-covered metal stent. In the first case of lower-middle bile duct cancer, a stent was placed through the stenosis. In the second case of middle bile duct stricture due to lymph node metastases from gallbladder cancer, a stent was placed in the bile duct across the stenosis. No procedure-related complications were observed. Unevenness of the outer surface and a low shortening ratio are expected to lessen the occurrence of complications characteristic of covered metal stents such as stent migration and bile duct kinking.

Tu1479 Predictors of Migration of Self-Expandale Metal Stent in Malignant Biliary Stricture

2017 ◽  
Vol 85 (5) ◽  
pp. AB643-AB644 ◽  
Author(s):  
Sunguk Jang ◽  
Mansour A. Parsi ◽  
Tyler Stevens ◽  
Madhusudhan R. Sanaka ◽  
Amit Bhatt ◽  
...  
Keyword(s):  
Biliary Stricture ◽  
Metal Stent ◽  
Malignant Biliary Stricture
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