Efficacy and complications of inoperable malignant distal biliary obstruction treatment by metallic stents: fully covered or uncovered?
نویسندگان
چکیده
Abstract Obstructive jaundice caused by malignant distal biliary obstruction is a common clinical symptom in patients with inoperable biliary–pancreatic cancer. Endoscopic retrograde cholangiopancreatography (ERCP)-guided stent implantation an effective treatment for obstructive jaundice. Internal drainage more physiologic and associated better quality of life than external methods such as percutaneous transhepatic gallbladder or cholangiodrainage. Self-expanding metallic stents, which may be covered uncovered, are commonly used. However, some uncertainties remain regarding the selection including patency time, effect, migration, post-operative complications pancreatitis, bleeding, cholecystitis. This review aims to summarize current progress controversies surrounding use uncovered stents via ERCP.
منابع مشابه
[Comparison between covered and uncovered self-expandable metal stents in patients with malignant distal biliary obstruction].
متن کامل
Covered versus Uncovered Self-Expandable Metal Stents for Managing Malignant Distal Biliary Obstruction: A Meta-Analysis
AIM To compare the efficacy of using covered self-expandable metal stents (CSEMSs) and uncovered self-expandable metal stents (UCSEMSs) to treat objective jaundice caused by an unresectable malignant tumor. METHODS We performed a comprehensive electronic search from 1980 to May 2015. All randomized controlled trials comparing the use of CSEMSs and UCSEMSs to treat malignant distal biliary obs...
متن کاملComparison of covered and uncovered self-expandable stents in the treatment of malignant biliary obstruction.
BACKGROUND AND OBJECTIVE Drainage with metallic stents is the treatment of choice in malignant obstructive jaundice. Technical and clinical success with metallic stents is obtained in over 90% and 80% of cases, respectively. There are self-expandable metallic stents designed to increase permeability. The aim of this study was to describe the results obtained with totally covered self-expandable...
متن کاملPartially covered metal stents have longer patency than uncovered and fully covered metal stents in the management of distal malignant biliary obstruction: a retrospective study
BACKGROUND Self-expandable metal stents (SEMSs) are widely used for malignant biliary obstructions. Nitinol-covered SEMSs have been developed to improve stent patency. Currently, SEMSs may be uncovered, partially covered, or fully covered; however, there is no consensus on the best stent type for the management of malignant distal biliary obstruction (MDBO). METHODS Patients with unresectable...
متن کاملPartially Covered Metal Stents May Not Prolong Stent Patency Compared to Uncovered Stents in Unresectable Malignant Distal Biliary Obstruction
Background/Aims Controversy still exists regarding the benefits of covered self-expandable metal stents (SEMSs) compared to uncovered SEMSs. We aimed to compare the patency and stent-related adverse events of partially covered SEMSs (PC-SEMSs) and uncovered SEMSs in unresectable malignant distal biliary obstruction. Methods A total of 134 patients who received a PC-SEMS or uncovered SEMS for ...
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ژورنال
عنوان ژورنال: Gastroenterology report
سال: 2022
ISSN: ['2052-0034']
DOI: https://doi.org/10.1093/gastro/goad048