BACKGROUND: Various types of self-expandable metallic stents (SEMSs) are commercially available. However, few reports have compared the performance of the various SEMSs. In addition to long-term patency, maneuverability during initial placement and feasibility of re-intervention for the stent occlusion are also very important. METHODS: In this retrospective analysis, we compared the duration of stent patency and frequency of re-interventions in 96 patients diagnosed with unresectable hilar biliary strictures in whom initial 10-mm SEMSs were inserted between June 1999 and November 2008. RESULTS: Based on Kaplan-Meier curves, significantly shorter patency duration was noted for SEMSs with moderate axial force (AF) than for other groups of SEMSs with low AF. Endoscopic re-interventions for SEMS occlusion were easier in a group of SEMSs with low AF and large cell width than in other groups of SEMSs. CONCLUSIONS: With respect to patency duration and the frequency of re-intervention required, we consider that SEMSs with low AF and large cell width are favorable for hilar biliary strictures.
BACKGROUND: Various types of self-expandable metallic stents (SEMSs) are commercially available. However, few reports have compared the performance of the various SEMSs. In addition to long-term patency, maneuverability during initial placement and feasibility of re-intervention for the stent occlusion are also very important. METHODS: In this retrospective analysis, we compared the duration of stent patency and frequency of re-interventions in 96 patients diagnosed with unresectable hilar biliary strictures in whom initial 10-mm SEMSs were inserted between June 1999 and November 2008. RESULTS: Based on Kaplan-Meier curves, significantly shorter patency duration was noted for SEMSs with moderate axial force (AF) than for other groups of SEMSs with low AF. Endoscopic re-interventions for SEMS occlusion were easier in a group of SEMSs with low AF and large cell width than in other groups of SEMSs. CONCLUSIONS: With respect to patency duration and the frequency of re-intervention required, we consider that SEMSs with low AF and large cell width are favorable for hilar biliary strictures.
Authors: Harsha Moole; Matthew L Bechtold; Micheal Cashman; Fritz H Volmar; Sonu Dhillon; David Forcione; Deepak Taneja; Srinivas R Puli Journal: Indian J Gastroenterol Date: 2016-08-27
Authors: Min Jae Yang; Jin Hong Kim; Jae Chul Hwang; Byung Moo Yoo; Sang Hyub Lee; Ji Kon Ryu; Yong-Tae Kim; Sang Myung Woo; Woo Jin Lee; Seok Jeong; Don Haeng Lee Journal: Gut Liver Date: 2018-11-15 Impact factor: 4.519