Endoscopic management of occluded biliary uncovered metal stents:A multicenter experience

查看全文 作　　者：Panagiotis [1]Katsinelos;Athanasios [1]Beltsis;Grigoris [1]Chatzimavroudis;Dimitris [2]Paikos;George [3]Paroutoglou;Dimitris [4]Kapetanos;Sotiris [1]Terzoudis;Georgia [2]Lazaraki;Ioannis [2]Pilpilidis;Kostas [1]Fasoulas;Stefanos [1]Atmatzidis;Christos [5]Zavos;Jannis [5]Kountouras

机构地区：[1]Department of Endoscopy and Motility Unit, 'G. Gennimatas' General Hospital, 55132, Thessaloniki, Greece;[2]Department of Gastroenterology, Theagenion Anticancer Hospital, 54642, Thessaloniki, Greece;[3]Department of Gastroenterology, University Hospital of Thessaly, 41222, Larissa, Greece;[4]Department of Gastroenterology, 'G. Papanikolaou' General Hospital, 55236, Thessaloniki, Greece;[5]2nd Department of Internal Medicine, Medical School, Aristotle University of Thessaloniki, Ippokration Hospital, 54642, Thessaloniki, Greece

出　　处：《World Journal of Gastroenterology》索引2011年第17卷第1期,共7页

摘　　要：AIM:To compare diverse endoscopic interventions in the management of occluded uncovered self-expanding metal stents(SEMSs) that had been placed for palliative treatment of unresectable malignant biliary obstruction.METHODS:A retrospective review was undertaken in 4 tertiary endoscopic centers to determine optimal management of different types of occluded SEMSs.The technical success of performed treatment in occluded SEMSs,the patency of the stent,the need for re-intervention and the financial costs of each treatment were analyzed.RESULTS:Fifty four patients were included in the analysis;21 received Hanaro,19 Wallstent and 14 Flexus.For the relief of obstruction,a plastic stent was inserted in 24 patients,a second SEMS in 25 and mechanical cleaning was performed in 5 patients.The overall median second patency rates between second SEMSs and plastic stents did not differ(133 d for SEMSs vs 106 d for plastic stents;P = 0.856).Similarly,no difference was found between the overall survival of SEMS and plastic stent groups,and no procedure-related complications occurred.Incremental cost analysis showed that successive plastic stenting was a cost-saving strategy at least in Greece.CONCLUSION:Insertion of uncovered SEMSs or plastic stents is a safe and effective treatment for occluded uncovered SEMSs;insertion of plastic stents appears to be the most cost-effective strategy. 关键词：金属支架闭塞内镜多中心塑料支架胆管理发 SEMS

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Endoscopic management of occluded biliary uncovered metal stents:A multicenter experience

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