PMID- 30618170
OWN - NLM
STAT- MEDLINE
DCOM- 20200302
LR  - 20200302
IS  - 1440-1746 (Electronic)
IS  - 0815-9319 (Linking)
VI  - 34
IP  - 9
DP  - 2019 Sep
TI  - Modified non-flared fully covered self-expandable metal stent versus plastic 
      stent for preoperative biliary drainage in patients with resectable malignant 
      biliary obstruction.
PG  - 1590-1596
LID - 10.1111/jgh.14600 [doi]
AB  - BACKGROUND AND AIM: Fully covered self-expandable metal stents (FCSEMS) may be 
      better than plastic stents (PS) for preoperative biliary drainage (PBD) to 
      relieve cholangitis or jaundice for resectable malignant biliary obstruction 
      (MBO). However, modification of current FCSEMS designed originally for 
      nonresectable MBO is needed to be a proper stent for PBD. The aim of this study 
      was to evaluate the possible superiority of non-flared modified FCSEMS (M-FCSEMS) 
      with 12-mm diameter and waist of central portion over PS in patients with 
      resectable MBO. METHODS: Eighty-five consecutive patients underwent PBD followed 
      by operation from August 2015 to December 2017. In each M-FCSEMS and PS group, 29 
      patients were matched for age, sex, body mass index, and preoperative albumin and 
      bilirubin levels. RESULTS: The overall technical success rates of PBD using 
      M-FCSEMS and PS were 100%. The time to operation was similar between groups 
      (18.6 +/- 10.8 vs 19.3 +/- 11.6 days, respectively; P = 0.843). The prevalence of 
      PBD-related adverse events (AEs) was 6.9% (2/29) in the M-FCSEMS group versus 
      27.6% (8/29) in the PS group (P = 0.037). Re-intervention before operation was 
      required in 20.7% (6/29) of patients in the PS group but no patients in the 
      M-FCSEMS group (P = 0.023). No differences were found between perioperative AEs 
      in the M-FCSEMS and PS groups (27.5% vs 31.0%, respectively; P = 0.773). 
      CONCLUSION: Modified FCSEMS led to lower PBD-related AEs, re-intervention rate, 
      and comparable perioperative AEs compared with PS. M-FCSEMS may be a potential 
      novel stent for PBD in patients with resectable MBO.
CI  - (c) 2019 Journal of Gastroenterology and Hepatology Foundation and John Wiley & 
      Sons Australia, Ltd.
FAU - Lee, Hyun Woo
AU  - Lee HW
AD  - Digestive Disease Center and Research Institute, Department of Internal Medicine, 
      Bucheon, Korea.
FAU - Moon, Jong Ho
AU  - Moon JH
AD  - Digestive Disease Center and Research Institute, Department of Internal Medicine, 
      Bucheon, Korea.
FAU - Lee, Yun Nah
AU  - Lee YN
AD  - Digestive Disease Center and Research Institute, Department of Internal Medicine, 
      Bucheon, Korea.
FAU - Chung, Jun Chul
AU  - Chung JC
AD  - Surgery, SoonChunHyang University School of Medicine, Bucheon, Korea.
FAU - Lee, Tae Hoon
AU  - Lee TH
AD  - Digestive Disease Center and Research Institute, Department of Internal Medicine, 
      Bucheon, Korea.
FAU - Choi, Moon Han
AU  - Choi MH
AD  - Digestive Disease Center and Research Institute, Department of Internal Medicine, 
      Bucheon, Korea.
FAU - Cha, Sang-Woo
AU  - Cha SW
AD  - Digestive Disease Center and Research Institute, Department of Internal Medicine, 
      Bucheon, Korea.
FAU - Cho, Young Deok
AU  - Cho YD
AD  - Digestive Disease Center and Research Institute, Department of Internal Medicine, 
      Bucheon, Korea.
FAU - Park, Sang-Heum
AU  - Park SH
AD  - Digestive Disease Center and Research Institute, Department of Internal Medicine, 
      Bucheon, Korea.
LA  - eng
GR  - Soonchunhyang University Research Fund/
PT  - Journal Article
PT  - Video-Audio Media
DEP - 20190227
PL  - Australia
TA  - J Gastroenterol Hepatol
JT  - Journal of gastroenterology and hepatology
JID - 8607909
RN  - 0 (Plastics)
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Case-Control Studies
MH  - Cholangiopancreatography, Endoscopic Retrograde/adverse effects/*instrumentation
MH  - Cholestasis/diagnostic imaging/etiology/*therapy
MH  - Databases, Factual
MH  - Digestive System Neoplasms/*complications/diagnostic imaging
MH  - Drainage/adverse effects/*instrumentation
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - *Plastics
MH  - Postoperative Complications/etiology
MH  - Preoperative Care
MH  - Prosthesis Design
MH  - Risk Factors
MH  - *Self Expandable Metallic Stents
MH  - *Sphincterotomy, Endoscopic/adverse effects
MH  - Time Factors
MH  - Treatment Outcome
MH  - Young Adult
OTO - NOTNLM
OT  - adverse events
OT  - malignant biliary obstruction
OT  - preoperative biliary drainage
OT  - re-intervention
OT  - self-expandable metal stent
EDAT- 2019/01/09 06:00
MHDA- 2020/03/03 06:00
CRDT- 2019/01/09 06:00
PHST- 2018/11/22 00:00 [received]
PHST- 2018/12/31 00:00 [revised]
PHST- 2019/01/04 00:00 [accepted]
PHST- 2019/01/09 06:00 [pubmed]
PHST- 2020/03/03 06:00 [medline]
PHST- 2019/01/09 06:00 [entrez]
AID - 10.1111/jgh.14600 [doi]
PST - ppublish
SO  - J Gastroenterol Hepatol. 2019 Sep;34(9):1590-1596. doi: 10.1111/jgh.14600. Epub 
      2019 Feb 27.