Complications and diagnostic difficulties arising from biliary self‐expanding metal stent insertion before definitive histological diagnosis

Ayaru, Lakshmana; Kurzawinski, Tom; Shankar, Arjun; Webster, George; Hatfield, A. R. W.; Pereira, Stephen P.

doi:10.1111/j.1440-1746.2006.04562.x

Cited by 17 publications

(13 citation statements)

References 36 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A theoretical concern about the routine use of SEMS for patients awaiting pancreaticoduodenectomy is that the SEMS might result in technical difficulties during surgery and complications after surgery [23]. We did not observe intra-operative or post-operative complications related to the SEMS.…”

Section: Discussionmentioning

confidence: 52%

Self-Expanding Metal Stents for Biliary Drainage in Patients with Resectable Pancreatic Cancer: Single-Center Experience with 79 Cases

et al. 2011

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 52%

Self-Expanding Metal Stents for Biliary Drainage in Patients with Resectable Pancreatic Cancer: Single-Center Experience with 79 Cases

et al. 2011

View full text Add to dashboard Cite

show abstract

“…As a result, a recent prospective randomized controlled trial did not identify superiority of PBD using C‐FCSEMS compared with PS . Thus, the routine use of FCSEMS in surgical candidates was initially avoided because of concern that a metallic foreign body may lead to local inflammation and make surgical resection more technically challenging, resulting in an increased rate of perioperative AEs …”

Section: Discussionmentioning

confidence: 99%

Modified non‐flared fully covered self‐expandable metal stent versus plastic stent for preoperative biliary drainage in patients with resectable malignant biliary obstruction

Lee¹,

Moon²,

Lee³

et al. 2019

J of Gastro and Hepatol

View full text Add to dashboard Cite

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.

show abstract

“…The preoperative use of metal stents is limited by the fact that intraoperative assessment of the extent of the tumour may be more difficult as the fibrotic reaction is likely to be more pronounced if an SEMS is used than if a plastic stent is inserted. This is believed to lead to technical difficulties during resection and to a higher complication rate . Self‐expanding metal stents have recently been used in distal cholangiocarcinoma, which is subject to the same concerns about technical difficulties, but no stent‐related complications occurred either intra‐ or postoperatively .…”

Section: Discussionmentioning

confidence: 99%

Metal stents: a bridge to surgery in hilar cholangiocarcinoma

Grünhagen

Dunne

Sturgess

et al. 2013

HPB

View full text Add to dashboard Cite

show abstract

Complications and diagnostic difficulties arising from biliary self‐expanding metal stent insertion before definitive histological diagnosis

Abstract: These cases indicate that metal bile duct stent insertion before definitive histological diagnosis can be problematic. A proportion of cases will have benign strictures and in others the confirmation of malignancy may be made more difficult.

Cited by 17 publications

References 36 publications

Self-Expanding Metal Stents for Biliary Drainage in Patients with Resectable Pancreatic Cancer: Single-Center Experience with 79 Cases

Self-Expanding Metal Stents for Biliary Drainage in Patients with Resectable Pancreatic Cancer: Single-Center Experience with 79 Cases

Modified non‐flared fully covered self‐expandable metal stent versus plastic stent for preoperative biliary drainage in patients with resectable malignant biliary obstruction

Metal stents: a bridge to surgery in hilar cholangiocarcinoma

Contact Info

Product

Resources

About