PMID- 25521570
OWN - NLM
STAT- MEDLINE
DCOM- 20160115
LR  - 20220311
IS  - 1438-8812 (Electronic)
IS  - 0013-726X (Linking)
VI  - 47
IP  - 4
DP  - 2015 Apr
TI  - Endoscopic treatment of nonstricture-related benign biliary diseases using 
      covered self-expandable metal stents.
PG  - 315-21
LID - 10.1055/s-0034-1391093 [doi]
AB  - BACKGROUND AND STUDY AIMS: Nonstricture benign biliary diseases (BBDs) such as 
      leaks, perforations, and bleeding, have been traditionally managed by placement 
      of one or more plastic stents. Emerging data support the use of covered, 
      self-expandable, metal stents (CSEMSs). The aim of this study was to assess the 
      outcomes of endoscopic temporary placement of CSEMS in patients with nonstricture 
      BBD. PATIENTS AND METHODS: This was a retrospective study of CSEMS placement for 
      BBD between May 2005 and August 2013 at two tertiary care centers. The main 
      outcome measures were resolution of perforation, bleeding, leak, and adverse 
      events related to CSEMS treatment. RESULTS: A total of 87 patients were included 
      (median age 62 years [range 18 - 86]). Indications for stent placement were bile 
      leaks (n = 35, 40 %), bleeding (n = 27, 31 %), perforation (n = 18, 21 %), and 
      other conditions (n = 7, 8 %). Fully and partially covered 8 - 10-mm diameter 
      CSEMS were placed and subsequently removed in all 87 patients (100 %). Resolution 
      of the underlying problem was achieved for 33 bile leaks (94 %), 25 bleedings 
      (93 %), 18 perforations (100 %), and for 3 cases with other indications (43 %). 
      The median duration of stenting was 9 weeks in patients with biliary leaks, 3 
      weeks for bleeding, and 9.5 weeks for perforations. Median follow-up was 82 weeks 
      after stent removal. Seven adverse events occurred, including cholangitis in six 
      patients (7 %), and tissue hyperplasia leading to difficulty in the removal of a 
      partially covered SEMS in one patient. CONCLUSIONS: Nonstricture BBD can be 
      effectively and safely treated with the short term placement of CSEMS. .
CI  - (c) Georg Thieme Verlag KG Stuttgart . New York.
FAU - Irani, Shayan
AU  - Irani S
AD  - Department of Gastroenterology, Virginia Mason Medical Center, Seattle, 
      Washington, United States.
FAU - Baron, Todd H
AU  - Baron TH
AD  - Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, 
      United States.
FAU - Law, Ryan
AU  - Law R
AD  - Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, 
      United States.
FAU - Akbar, Ali
AU  - Akbar A
AD  - Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, 
      United States.
FAU - Ross, Andrew S
AU  - Ross AS
AD  - Department of Gastroenterology, Virginia Mason Medical Center, Seattle, 
      Washington, United States.
FAU - Gluck, Michael
AU  - Gluck M
AD  - Department of Gastroenterology, Virginia Mason Medical Center, Seattle, 
      Washington, United States.
FAU - Gan, Ian
AU  - Gan I
AD  - Department of Gastroenterology, Virginia Mason Medical Center, Seattle, 
      Washington, United States.
FAU - Kozarek, Richard A
AU  - Kozarek RA
AD  - Department of Gastroenterology, Virginia Mason Medical Center, Seattle, 
      Washington, United States.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PT  - Video-Audio Media
DEP - 20141218
PL  - Germany
TA  - Endoscopy
JT  - Endoscopy
JID - 0215166
SB  - IM
CIN - Endoscopy. 2015 Apr;47(4):v5. PMID: 25826177
CIN - Endoscopy. 2015 Apr;47(4):391-2. PMID: 25996003
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Anastomotic Leak/*therapy
MH  - Bile Ducts/*pathology
MH  - Biliary Tract Diseases/*therapy
MH  - Cholangitis/etiology
MH  - *Endoscopy, Digestive System/adverse effects
MH  - Female
MH  - Hemobilia/*therapy
MH  - Humans
MH  - Hyperplasia/etiology
MH  - Male
MH  - Middle Aged
MH  - Retrospective Studies
MH  - *Self Expandable Metallic Stents/adverse effects
MH  - Time Factors
MH  - Treatment Outcome
MH  - Young Adult
EDAT- 2014/12/19 06:00
MHDA- 2016/01/16 06:00
CRDT- 2014/12/19 06:00
PHST- 2014/12/19 06:00 [entrez]
PHST- 2014/12/19 06:00 [pubmed]
PHST- 2016/01/16 06:00 [medline]
AID - 10.1055/s-0034-1391093 [doi]
PST - ppublish
SO  - Endoscopy. 2015 Apr;47(4):315-21. doi: 10.1055/s-0034-1391093. Epub 2014 Dec 18.