A fully covered self-expandable metal stent anchored by a 10-Fr double pigtail plastic stent: an effective anti-migration technique.

Autor: Katsinelos P; Department of Endoscopy and Motility Unit, G. Gennimatas General Hospital, Medical School, Aristotle University of Thessaloniki (Panagiotis Katsinelos, Georgia Lazaraki, Stergios Gkagkalis, Grigoris Chatzimavroudis, Olga Giouleme)., Lazaraki G; Department of Endoscopy and Motility Unit, G. Gennimatas General Hospital, Medical School, Aristotle University of Thessaloniki (Panagiotis Katsinelos, Georgia Lazaraki, Stergios Gkagkalis, Grigoris Chatzimavroudis, Olga Giouleme)., Gkagkalis S; Department of Endoscopy and Motility Unit, G. Gennimatas General Hospital, Medical School, Aristotle University of Thessaloniki (Panagiotis Katsinelos, Georgia Lazaraki, Stergios Gkagkalis, Grigoris Chatzimavroudis, Olga Giouleme)., Chatzimavroudis G; Department of Endoscopy and Motility Unit, G. Gennimatas General Hospital, Medical School, Aristotle University of Thessaloniki (Panagiotis Katsinelos, Georgia Lazaraki, Stergios Gkagkalis, Grigoris Chatzimavroudis, Olga Giouleme)., Anastasiadou K; Second Department of Internal Medicine, Ippokration Hospital, Medical School, Aristotle University of Thessaloniki (Kiriaki Anastasiadou, Nikos Georgakis, Christos Zavos, Jannis Kountouras), Thessaloniki, Greece., Georgakis N; Second Department of Internal Medicine, Ippokration Hospital, Medical School, Aristotle University of Thessaloniki (Kiriaki Anastasiadou, Nikos Georgakis, Christos Zavos, Jannis Kountouras), Thessaloniki, Greece., Giouleme O; Department of Endoscopy and Motility Unit, G. Gennimatas General Hospital, Medical School, Aristotle University of Thessaloniki (Panagiotis Katsinelos, Georgia Lazaraki, Stergios Gkagkalis, Grigoris Chatzimavroudis, Olga Giouleme)., Zavos C; Second Department of Internal Medicine, Ippokration Hospital, Medical School, Aristotle University of Thessaloniki (Kiriaki Anastasiadou, Nikos Georgakis, Christos Zavos, Jannis Kountouras), Thessaloniki, Greece., Kountouras J; Second Department of Internal Medicine, Ippokration Hospital, Medical School, Aristotle University of Thessaloniki (Kiriaki Anastasiadou, Nikos Georgakis, Christos Zavos, Jannis Kountouras), Thessaloniki, Greece.
Jazyk: angličtina
Zdroj: Annals of gastroenterology [Ann Gastroenterol] 2017; Vol. 30 (1), pp. 114-117. Date of Electronic Publication: 2016 Sep 22.
DOI: 10.20524/aog.2016.0089
Abstrakt: Background: Fully covered self-expandable metal stents (FCSEMS) have been used successfully in the treatment of malignant and benign biliary strictures. However, stent migration is a major complication. We investigated the efficacy of anchoring FCSEMS with a 10-Fr double-pigtail plastic stent to prevent migration in patients with biliary strictures.
Methods: Between January 2012 and May 2013, 10 patients with malignant biliary strictures and one patient with a suprapapillary benign biliary stenosis were enrolled in the study. The primary endpoint of the study was to record the migration rate of FCSEMS.
Results: The placement of FCSEMSs and the anchoring with a 10-Fr double-pigtail plastic stent were successful in all patients. During a median follow-up period of eight months, proximal or distal migration of FCSEMS was not observed. No procedural complications related to the placement of FCSEMS and/or the anchoring plastic stent were recorded.
Conclusions: The placement of an anchoring 10-Fr double-pigtail stent is a simple and effective anti-migration technique for FCSEMS in patients with malignant biliary strictures.
Competing Interests: None
Databáze: MEDLINE
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