Reintervention for occluded biliary metal stent for patients with malignant distal biliary stricture

被引：12

作者：

Ito, Kei ^{[1
]}

Ogawa, Takahisa ^{[1
]}

Horaguchi, Jun ^{[1
]}

Koshita, Shinsuke ^{[1
]}

Fujita, Naotaka ^{[1
]}

机构：

[1] Sendai City Med Ctr, Dept Gastroenterol, Sendai, Miyagi 9830824, Japan

来源：

DIGESTIVE ENDOSCOPY | 2013年 / 25卷

关键词：

biliary obstruction; biliary stenting; endoscopic retrograde cholangiopancreatography; metallic stent; plastic stent; self-expanding metallic stent; COMMON BILE-DUCT; ENDOSCOPIC MANAGEMENT; POLYETHYLENE STENTS; RANDOMIZED-TRIAL; OBSTRUCTION; MULTICENTER; WALLSTENTS; EXPERIENCE; PLACEMENT; REMOVAL;

D O I：

10.1111/den.12092

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

A metal stent has a longer stent patency than a plastic stent in patients with unresectable malignant distal biliary stricture. However, treatment for stent dysfunction of a metal stent remains unresolved. A review of reported articles regarding reintervention for metal stent dysfunction showed that causes of stent dysfunction included tumor ingrowth/overgrowth, stone/sludge/food impaction, and stent migration. Cleaning of the stent is associated with an early relapse of stent dysfunction. Additional placement of a covered metal stent is expected to have a longer stent patency than that of other stents such as uncovered metal stents or plastic stents. It is recommended that occludedcovered metal stents be removed if possible. Stent trimming with argon plasma coagulation is sometimes useful for the treatment of stent displacement. No strategy for occluded metal stents has been established yet. Further clinical trials regarding proper treatments are necessary.

引用

页码：126 / 131

页数：6

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