Year 2018 / Volume 110 / Number 1
Original
Insertion of fully covered self-expanding metal stents in benign biliary diseases

30-34

DOI: 10.17235/reed.2017.5092/2017

Mariana Omodeo, Ignacio Malaga, Dante Manazzoni, Cecilia Curvale, Julio de Maria, Martín Alejandro Guidi, Raúl Matano,

Abstract
Introduction: Benign biliary diseases are traditionally treated using plastic stents. However, fully covered self-expanding metal stents are currently gaining acceptance for the treatment of these pathologies. Objective: To assess the effectiveness and complications associated with the placement of temporary endoscopic fully covered self-expanding metal stents for the treatment of benign biliary diseases. Materials and methods: This was a retrospective and observational study using a prospective database from a tertiary care center from March 2012 to May 2016. Some patients that had a fully covered metal stent due to a benign biliary disease were also included. The indications, resolution, technical success rates and adverse events were documented. Results: 31 patients were included with a total of 34 stents inserted. The indications were as follows: 8 (25%) post cholecystectomy biliary stenoses, 11 (31%) large or multiple choledocholithiasis, 3 (8.3%) biliary fistulas, 2 (6%) post-liver transplant stenoses, 2 (8.3%) papillary stenoses, 2 (6%) perforations and 2 (6%) bleeds. The global resolution success rate of the stents for all pathologies was 88%, this included 87.5% (7/8) in post cholecystectomy stenoses, 73% (8/11) in large choledocholithiasis and 100% for the remaining indications. Thirty-three of 34 stents were removed after an average of 133 days (ranging from 10 to 180 days). No complications were registered. Conclusion: Fully covered self-expanding metal stents are an effective and reliable alternative for the resolution of benign biliary diseases.
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References
1) Srinivasan I, Kahaleh M. Review Biliary stents in the millennium. Adv Ther. 2011 Nov; 28 (11): 960-72.
2) Huibregtse K, Cheng J, Coene PP et al. Endoscopic placement of expandable metal stents for biliary strictures--a preliminary report on experience with 33 patients. Endoscopy 1989 Nov; 21 (6): 280-2.
3) Irving JD, Adam A, Dick R, et al. Expandable metallic biliary stents: results of a European clinical trial. Radiology 1989 Aug; 172(2): 321-6.
4) Costamagna G, Pandolfi M, Multignani M, et al. Long term results of endoscopic management of postoperative bile duct strictures with increasing numbers of stents. GastrointestEndosc 2001; 54: 162-8.
5) K.S. Jeng,I.S, Sheen,F.S. Yang. Are expandable metallic stents better than conventional methods for treating difficult intrahepatic biliary strictures with recurrent hepatolithiasis? Arch Surg, 134 (1999), pp. 267-273
6) Y. Mizukami,H. Saito,T. Obara. Temporary use of an accuflex stent for unextractable common bile duct stones. J Gastroenterol Hepatol, 15 (2000), pp. 680-683
7) A. Minami,R. Fujita- A new technique for removal of bile duct stones with an expandable metallic stent. Gastrointest Endosc, 57 (2003), pp. 945-94
8) Cerefice M, Sauer B, Javaid M, et al. Complex biliary stones: treatment with removable self-expandable metal stents: a new approach. Gastrointest Endosc. 2011; 74: 520-526.
9) Horiuchi,Y. Nakayama,M. Kajiyama. Biliary stenting in the management of large or multiple common bile duct stones. Gastrointest Endosc, 71 (2010), pp. 1200-1203
10) Draganov P, Hoffman B, Marsh W, et al. Long-term outcome in patients with benign biliary strictures treated endoscopically with multiple stents. Gastrointest Endosc. 2002; 55(6): 680-686
11) Coté GA, Slivka A, Tarnasky P, et al. Effect of Covered Metallic Stents Compared With Plastic Stents on Benign Biliary Stricture Resolution A Randomized Clinical Trial. JAMA. 2016; 315(12): 1250-1257.
12) Wang AY, Ellen K, Berg CL, et al. Metallic stents in the management of complex biliary leaks: preliminary data-acaseseries. Endoscopy 2009; 41:781-6.
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Omodeo M, Malaga I, Manazzoni D, Curvale C, de Maria J, Guidi M, et all. Insertion of fully covered self-expanding metal stents in benign biliary diseases. 5092/2017


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Publication history

Received: 30/05/2017

Accepted: 16/08/2017

Online First: 06/11/2017

Published: 12/01/2018

Article revision time: 71 days

Article Online First time: 160 days

Article editing time: 227 days


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