Comparison of 6-mm and 10-mm-diameter, fully-covered, self-expandable metallic stents for distal malignant biliary obstruction
| Autor: | Shota Harai, Susumu Hijioka, Yoshikuni Nagashio, Akihiro Ohba, Yuta Maruki, Daiki Yamashige, Yuya Hisada, Motohiro Yoshinari, Hidetoshi Kitamura, Kosuke Maehara, Yumi Murashima, Yuki Kawasaki, Takehiko Koga, Kotaro Takeshita, Hideki Ueno, Shunsuke Kondo, Chigusa Morizane, Mitsuharu Fukasawa, Miyuki Sone, Yutaka Saito, Nobuyuki Enomoto, Takuji Okusaka |
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| Jazyk: | angličtina |
| Rok vydání: | 2023 |
| Předmět: | |
| Zdroj: | Endoscopy International Open, Vol 11, Iss 04, Pp E340-E348 (2023) |
| Druh dokumentu: | article |
| ISSN: | 2364-3722 2196-9736 |
| DOI: | 10.1055/a-2039-4316 |
| Popis: | Background and study aims For distal malignant biliary obstruction, self-expandable metallic stents (SEMSs) have a larger inner diameter compared to plastic stents, which prolongs time to recurrent biliary obstruction (TRBO), although stent-related complications are still a problem. This study aimed to compare the outcomes between using 10– and 6-mm-diameter fully-covered SEMS (FCSEMS) for distal malignant biliary obstruction. Patients and methods This single-center, retrospective study included patients with 10-mm or 6-mm-diameter FCSEMS to treat distal malignant biliary obstruction. Clinical success, stent-related adverse events (AEs), cumulative incidence of RBO, factors involved in stent-related AEs, and factors involved in RBO were evaluated. Results There were 243 eligible cases between October 2017 and December 2021. The cumulative incidence of RBO did not differ significantly between the 10-mm and 6-mm groups. Stent-related AEs occurred in 31.6 % and 11.4 % of patients between the 10-mm and 6-mm groups, respectively (P |
| Databáze: | Directory of Open Access Journals |
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