Covered metal versus plastic stents for malignant common bile duct stenosis: a prospective, randomized, controlled trial

Söderlund, C; Linder, Stefan

doi:10.1016/j.gie.2005.11.052

Cited by 309 publications

(217 citation statements)

References 23 publications

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“…In our study, technical success was 100% in both groups and no differences were observed with previous communications in the literature (> 90%) (1). Unlike plastic stents, SEMS have a greater diameter and hence, more lasting permeability (8,9). In a multicenter, randomized study, Shah et al showed that uncovered Z-stent and Wallstent stents are equal in terms of placement, percentage of occlusions and overall permeability (2).…”

Section: Discussionsupporting

confidence: 56%

Comparison of covered and uncovered self-expandable stents in the treatment of malignant biliary obstruction

Carmona¹,

Lárraga²,

Guerrero³

et al. 2016

Rev Esp Enferm Dig

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Background and objective: Drainage with metallic stents is the treatment of choice in malignant obstructive jaundice. Technical and clinical success with metallic stents is obtained in over 90% and 80% of cases, respectively. There are self-expandable metallic stents designed to increase permeability. The aim of this study was to describe the results obtained with totally covered self-expandable and uncovered self-expandable metallic stents in the palliative treatment of malignant biliary obstruction.Patients and methods: Sixty eight patients with malignant obstructive jaundice secondary to pancreatobiliary or metastatic disease not amenable to surgery were retrospectively included. Two groups were created: group A (covered self-expandable metallic stents) (n = 22) and group B (uncovered self-expandable metallic stents) (n = 46).Results: Serum total bilirubin, direct bilirubin, alkaline phosphatase and gamma glutamyl transferase levels decreased in both groups and no statistically significant difference was detected (p = 0.800, p = 0.190, p = 0.743, p = 0.521). Migration was greater with covered stents but it was not statistically significant either (p = 0.101). Obstruction was greater in the group with uncovered stents but it was not statistically significant either (p = 0.476).Conclusion: There are no differences when using covered self-expandable stents or uncovered self-expandable stents in terms of technical and clinical success or complications in the palliative treatment of malignant obstructive jaundice.

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Section: Discussionsupporting

confidence: 56%

Comparison of covered and uncovered self-expandable stents in the treatment of malignant biliary obstruction

Carmona¹,

Lárraga²,

Guerrero³

et al. 2016

Rev Esp Enferm Dig

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show abstract

“…An expandable metal stent (EMS) is used to provide palliation in patients with malignant obstructive jaundice [58] . EMSs have been compared with plastic endoprostheses for the palliative treatment of malignant obstructive jaundice [59,60] . EMSs are inserted percutaneously [61][62][63] or endoscopically [59,64] .…”

Section: Palliative Therapymentioning

confidence: 99%

Diagnosis and initial management of cholangiocarcinoma with obstructive jaundice

Tajiri¹,

Yoshida²,

Mamada³

et al. 2008

WJG

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“…term patency in malignant stenoses and carry a low risk of tissue ingrowth and sludge accumulation [1,4,5]. This sup− ports the feasibility of intentional retriev− al and allows the endoscopist greater lati− tude when extended time periods of stent placement are necessary [1].…”

Section: Videomentioning

confidence: 99%

Biliary stenting and successful intentional stent retrieval after 6 months in a benign stricture following hepaticojejunostomy

Renteln¹,

Riecken²,

Ulmer³

et al. 2007

Endoscopy

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Covered metal versus plastic stents for malignant common bile duct stenosis: a prospective, randomized, controlled trial

Cited by 309 publications

References 23 publications

Comparison of covered and uncovered self-expandable stents in the treatment of malignant biliary obstruction

Comparison of covered and uncovered self-expandable stents in the treatment of malignant biliary obstruction

Diagnosis and initial management of cholangiocarcinoma with obstructive jaundice

Biliary stenting and successful intentional stent retrieval after 6 months in a benign stricture following hepaticojejunostomy

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