A multicenter analysis of safety and outcome of removal of a fully covered self-expandable metal stent during ERCP

A non-randomized study in consecutive patients with postcholecystectomy refractory biliary leaks who were managed endoscopically with the use of multiple plastic stents or fully covered self-expandable metal stents (with videos)

“…This was related to the short-term stenting as suggested in the previously mentioned report. 17 Finally, in our study, as suggested elsewhere, 23 the removal of an FCSEMS was safe and easily accomplished.…”

“…Special concerns have been raised concerning de novo biliary strictures after temporary FCSEMS placement (especially after long-term stenting), 14 in liver transplant patients 22 and after oversizing (placement of a 10-mm stent in a duct with a smaller diameter). 23 At the end of the study, the oversizing in bile ducts with luminal diameters O5.0 mm was safe, and none of our 27 patients who had FCSEMSs placed developed de novo stricture formation. This was related to the short-term stenting as suggested in the previously mentioned report.…”

Fully Covered Self-expandable Metal Stents for Treatment of Post-sphincterotomy Bleeding

“…In a multicenter study (37 patients) removal attempts of CSEMS were successful in all cases [8]. The endoscopic feasibility and safety of stent removal were also documented by other authors [9].…”

Endoscopic and Conservative Management of Chronic Pancreatitis and Its Complications

“…To prevent stent dislocations, anchoring devices and flares have been developed, with a positive effect on migration events [102]. On the other hand, in a small portion of patients, de novo biliary strictures from irritations caused by anchoring devices have been described [103, 104]. …”