PMID- 27262891
OWN - NLM
STAT- MEDLINE
DCOM- 20170914
LR  - 20220408
IS  - 1097-6779 (Electronic)
IS  - 0016-5107 (Linking)
VI  - 85
IP  - 1
DP  - 2017 Jan
TI  - Covered self-expanding metal stents for the management of common bile duct 
      stones.
PG  - 181-186
LID - S0016-5107(16)30216-4 [pii]
LID - 10.1016/j.gie.2016.05.038 [doi]
AB  - BACKGROUND AND AIMS: Little medical literature exists for the use of fully 
      covered self-expanding metal stents (CSEMSs) in the management of retained common 
      bile duct (CBD) stones. Our aim was to assess the safety and efficacy of CSEMSs 
      for the indication of retained "difficult" CBD stones. METHODS: This 
      retrospective cases series included 44 patients (30 women; median age, 69 years 
      [range, 24-88]) who underwent CSEMS insertion for the indication of retained 
      "difficult" CBD stones in 2 tertiary referral centers. Patients underwent 
      temporary placement of CSEMSs after incomplete stone clearance at ERCP. Follow-up 
      ERCP was arranged for stent removal and subsequent attempt at duct clearance. 
      Procedure-related adverse events were also recorded. RESULTS: Successful biliary 
      drainage was achieved in all cases after CSEMS placement. Forty-two stents were 
      removed with successful duct clearance achieved in 36 cases (82%) after a median 
      in-stent duration of 8 weeks. There were 10 cases (22.7%) of stent migration, all 
      noted incidentally during follow-up. One patient died of nonbiliary causes before 
      attempted removal. CONCLUSION: This is the largest published retrospective case 
      series for use of CSEMSs for management of retained CBD stone disease to date. We 
      have shown high success rates for this indication. A well-designed, 
      multicenter, randomized controlled trial might address the uncertainty of 
      cost-to-benefit ratio and appropriate duration for CSEMSs to be left in situ. 
      Specific stent modification for this indication, including wider distal flare and 
      retrieval purse string loop, may also be useful.
CI  - Copyright (c) 2017. Published by Elsevier Inc.
FAU - Hartery, Karen
AU  - Hartery K
AD  - Department of Gastroenterology, St. Vincent's University Hospital and School of 
      Medicine and Medical Sciences, University College Dublin, Dublin, Ireland.
FAU - Lee, Chung Sen
AU  - Lee CS
AD  - Department of Gastroenterology, St. Vincent's University Hospital and School of 
      Medicine and Medical Sciences, University College Dublin, Dublin, Ireland.
FAU - Doherty, Glen A
AU  - Doherty GA
AD  - Department of Gastroenterology, St. Vincent's University Hospital and School of 
      Medicine and Medical Sciences, University College Dublin, Dublin, Ireland.
FAU - Murray, Frank E
AU  - Murray FE
AD  - Department of Gastroenterology, Beaumont Hospital and Royal College of Surgeons, 
      Dublin, Ireland.
FAU - Cullen, Garret
AU  - Cullen G
AD  - Department of Gastroenterology, St. Vincent's University Hospital and School of 
      Medicine and Medical Sciences, University College Dublin, Dublin, Ireland.
FAU - Patchett, Stephen E
AU  - Patchett SE
AD  - Department of Gastroenterology, Beaumont Hospital and Royal College of Surgeons, 
      Dublin, Ireland.
FAU - Mulcahy, Hugh E
AU  - Mulcahy HE
AD  - Department of Gastroenterology, St. Vincent's University Hospital and School of 
      Medicine and Medical Sciences, University College Dublin, Dublin, Ireland.
LA  - eng
PT  - Journal Article
DEP - 20160601
PL  - United States
TA  - Gastrointest Endosc
JT  - Gastrointestinal endoscopy
JID - 0010505
SB  - IM
CIN - Gastrointest Endosc. 2017 Oct;86(4):746-747. PMID: 28917350
CIN - Gastrointest Endosc. 2017 Oct;86(4):746. PMID: 28917351
CIN - Gastrointest Endosc. 2017 Dec;86(6):1188. PMID: 29146086
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - *Cholangiopancreatography, Endoscopic Retrograde/adverse effects
MH  - Cholangitis/etiology
MH  - Dilatation
MH  - Female
MH  - Gallstones/*therapy
MH  - Humans
MH  - Lithotripsy
MH  - Male
MH  - Middle Aged
MH  - Pancreatitis/etiology
MH  - Prosthesis Failure
MH  - Retreatment
MH  - Retrospective Studies
MH  - *Self Expandable Metallic Stents/adverse effects
MH  - Young Adult
EDAT- 2016/06/06 06:00
MHDA- 2017/09/15 06:00
CRDT- 2016/06/06 06:00
PHST- 2016/01/11 00:00 [received]
PHST- 2016/05/25 00:00 [accepted]
PHST- 2016/06/06 06:00 [pubmed]
PHST- 2017/09/15 06:00 [medline]
PHST- 2016/06/06 06:00 [entrez]
AID - S0016-5107(16)30216-4 [pii]
AID - 10.1016/j.gie.2016.05.038 [doi]
PST - ppublish
SO  - Gastrointest Endosc. 2017 Jan;85(1):181-186. doi: 10.1016/j.gie.2016.05.038. Epub 
      2016 Jun 1.