Safety and Efficacy of a Large-Bore Biliary Metallic Stent for Malignant Biliary Obstruction

Overview

Journal J Clin Med

Specialty General Medicine

Date 2022 Jun 10

PMID 35683477

Authors

Min Young Do

Sung Ill Jang

Jae Hee Cho

Yonsoo Kim

In-Jung Kim

Kwang-Hun Lee

Seung-Moon Joo

Dong Ki Lee

Affiliations

Soon will be listed here.

Abstract

Methods: Patients with unresectable distal malignant biliary obstruction were retrospectively enrolled between January 2011 and February 2021. All patients underwent endoscopic insertion of FCSEMSs. Recurrent biliary obstruction (RBO), patient survival time, complications, and prognosis were analyzed.

Results: RBO occurred in 31 patients (35.6%) who received an FCSEMS-L, and in 34 (45.9%) who received an FCSEMS-C. Stent occlusion occurred in 19 patients (21.8%) who received an FCSEMS-L, and in 22 (29.7%) who received an FCSEMS-C. Stent migration occurred in 12 patients (13.8%) with an FCSEMS-L and 12 (16.2%) with an FCSEMS-C. The median time to RBO (TRBO) was 301 days with an FCSEMS-L and 203 days with an FCSEMS-C. The median survival time was 479 days with an FCSEMS-L and 523 days with an FCSEMS-C. The TRBO and patient survival time did not significantly differ between the two groups.

Conclusions: There were no significant differences in efficacy and complication rates between the fully covered large bore SEMSs and conventional fully covered SEMSs.

Citing Articles

12-mm Versus 10-mm Metallic Stents for Malignant Biliary Obstructions: A Systematic Review and Meta-Analysis.

Armani Prata A, Fernandes M, Covre Coan A, do Livramento Junior V, Bulhoes E, Reis A Dig Dis Sci. 2024; 70(1):406-412.

PMID: 39614024 DOI: 10.1007/s10620-024-08769-z.

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