PMID- 29856174 OWN - NLM STAT- MEDLINE DCOM- 20190731 LR - 20190731 IS - 1827-1642 (Electronic) IS - 1121-421X (Linking) VI - 65 IP - 1 DP - 2019 Mar TI - Single brand, fully-covered, self-expandable metal stent for the treatment of benign biliary disease: when should stents be removed? PG - 63-69 LID - 10.23736/S1121-421X.18.02506-0 [doi] AB - The two most relevant endoscopic treatable benign biliary diseases (BBD) are benign biliary strictures (BBSs) and biliary leaks (BLs), often associated with high morbidity. The most common endoscopic treatment for biliary strictures involves placement of multiple plastic stents (PSs), with or without balloon dilation, followed by planned exchange of the stents. Thus, there continues to be high interest in pursuing alternative endoscopic approaches that may achieve better results with fewer interventions. In this setting, the use of a fully-covered, self-expandable metal stent (FCSEMS) is an attractive alternative to single or multiple PSs for the treatment of BBDs. A single metal stent can remain in place for a longer period of time before removal; however, the maximum time the stent can be remain in place is still not well defined. The aim of this review is to determine the removal time of the TaeWoong(R) FCSEMS, placed for BBD. According to our data analysis, considering the absence of loss of the covering of the FCSEMS and of any adverse events during and after stent removal, leaving the TaeWoong medical FCSEMS in situ for an 8 months' period seems to be acceptable for benign biliary diseases. Further studies need to evaluate their removability at 1 year. FAU - Mangiavillano, Benedetto AU - Mangiavillano B AD - Unit of Gastrointestinal Endoscopy, Humanitas - Mater Domini, Castellanza, Varese, Italy - b_mangiavillano@hotmail.com. AD - Humanitas University - Hunimed, Milan Italy - b_mangiavillano@hotmail.com. FAU - Khashab, Mouen A AU - Khashab MA AD - Division of Gastroenterology and Hepatology, Johns Hopkins Hospital, Baltimore, MD, USA. FAU - Eusebi, Leonardo H AU - Eusebi LH AD - Unit of Gastroenterology, Department of Medical and Surgical Sciences, S. Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy. FAU - Tarantino, Ilaria AU - Tarantino I AD - Gastroenterology and Endoscopy Unit, Mediterranean Institute for Transplantation and Advanced Specialized Therapies (IsMeTT), Palermo, Italy. FAU - Bianchetti, Mario AU - Bianchetti M AD - Unit of Gastrointestinal Endoscopy, Humanitas - Mater Domini, Castellanza, Varese, Italy. FAU - Semeraro, Rossella AU - Semeraro R AD - Digestive Endoscopy Unit, Istituto Clinico Humanitas Research Hospital, Rozzano, Milan, Italy. FAU - Pellicano, Rinaldo AU - Pellicano R AD - Unit of Gastroenterology, Molinette Hospital, Turin, Italy. FAU - Traina, Mario AU - Traina M AD - Gastroenterology and Endoscopy Unit, Mediterranean Institute for Transplantation and Advanced Specialized Therapies (IsMeTT), Palermo, Italy. FAU - Repici, Alessandro AU - Repici A AD - Humanitas University - Hunimed, Milan Italy. AD - Digestive Endoscopy Unit, Istituto Clinico Humanitas Research Hospital, Rozzano, Milan, Italy. LA - eng PT - Journal Article PT - Review DEP - 20180531 PL - Italy TA - Minerva Gastroenterol Dietol JT - Minerva gastroenterologica e dietologica JID - 9109791 MH - Biliary Tract Diseases/*therapy MH - Cholestasis/etiology/*therapy MH - Endoscopy, Digestive System MH - Humans MH - *Stents EDAT- 2018/06/02 06:00 MHDA- 2019/08/01 06:00 CRDT- 2018/06/02 06:00 PHST- 2018/06/02 06:00 [pubmed] PHST- 2019/08/01 06:00 [medline] PHST- 2018/06/02 06:00 [entrez] AID - S1121-421X.18.02506-0 [pii] AID - 10.23736/S1121-421X.18.02506-0 [doi] PST - ppublish SO - Minerva Gastroenterol Dietol. 2019 Mar;65(1):63-69. doi: 10.23736/S1121-421X.18.02506-0. Epub 2018 May 31.