Covered removable self-expandable mental stents for the treatment of refractory benign biliary disease

被引:12
作者
Mangiavillano, Benedetto [1 ]
Luigiano, Carmelo [2 ]
Viaggi, Paolo [1 ]
Fabbri, Carlo [2 ]
D'Imperio, Nicola [2 ]
Santoro, Tara [1 ]
Masci, Enzo [1 ]
机构
[1] Univ Milan, Univ Hosp, Azienda Osped San Paolo, I-20142 Milan, Italy
[2] Maggiore Hosp, AUSL Bologna Bellaria, Unit Gastroenterol & Digest Endoscopy, Bologna, Italy
关键词
benign biliary disease; bile leak; biliary stenosis; endoscopic retrograde cholangiopancreatography; stent; BILE-DUCT STRICTURES; METAL STENTS; LAPAROSCOPIC CHOLECYSTECTOMY; ENDOSCOPIC INTERVENTION; CHRONIC-PANCREATITIS; TEMPORARY PLACEMENT; MANAGEMENT;
D O I
10.1111/j.1751-2980.2012.00615.x
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
OBJECTIVE: The aim of the study was to verify the use of covered removable self-expandable metal stents (CRSEMS) in benign biliary disease after a failure of traditional endoscopic treatment. METHODS: A total of 23 patients who failed traditional endoscopic therapy were enrolled in the study and treated with CRSEMS. RESULTS: Among all the patients, 11 had a bile leak and 12 suffered benign biliary stenosis. Technical success and immediate clinical success were achieved in all the patients. The overall long-term clinical success rate after stent removal was 100%. The CRSEMS were left in place for a median of 47 days (range 30240 days). Immediate complications occurred in one patient, stent migration in two and overgrowth of inflammatory tissue in the stent in two. CONCLUSION: CRSEMS is an excellent treatment option for patients with benign biliary disease.
引用
收藏
页码:486 / 490
页数:5
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