A fully covered self-expandable metal stent anchored by a 10-Fr double pigtail plastic stent: an effective anti-migration technique
| Autor: | Kiriaki Anastasiadou, Georgia Lazaraki, Grigoris Chatzimavroudis, Jannis Kountouras, Olga Giouleme, Christos Zavos, Nikos Georgakis, Panagiotis Katsinelos, Stergios Gkagkalis |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Pigtail
medicine.medical_specialty Self expandable business.industry medicine.medical_treatment Gastroenterology Stent equipment and supplies migration Surgery 03 medical and health sciences Fully covered self-expandable metal stents 0302 clinical medicine prevention 030220 oncology & carcinogenesis medicine Biliary stenosis 030211 gastroenterology & hepatology Plastic stent In patient Original Article Radiology Major complication business |
| Zdroj: | Annals of Gastroenterology : Quarterly Publication of the Hellenic Society of Gastroenterology |
| ISSN: | 1108-7471 |
| Popis: | 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. Keywords Fully covered self-expandable metal stents, migration, prevention Ann Gastroenterol 2017; 30 (1): 114-117 |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|