Endoscopic treatment of benign biliary stricture using different stents: a systematic review and meta-analysis.

Abstract

Introduction: Biodegradable biliary stents (BDBSs), fully covered self-expanded metal stents (FCSEMSs) and multiple plastic stents (MPSs) were common stents in endoscopic treatment of benign biliary stricture (BBS). Aim: To evaluate the effectiveness of these 3 stents in BBS management. Material and methods: The PubMed, Web of Science, Cochrane Library, and Wiley Library databases were searched for studies that provided data about BBS and stent therapy. Results: We found that BDBSs were associated with the highest clinical success rate (0.76, 95% CI: 0.71-0.80),

Relationship between postoperative biliary stricture and clinical characteristics of patients with benign and malignant biliary diseases.

“…Thus, invasive surgery such as endoscopic techniques can assist surgeons in the diagnosis and treatment of biliary stricture under direct vision. Various endoscopic techniques can have different effects on the prognosis of patients with benign and malignant biliary stricture, and their surgical success rate, bile duct restenosis and functional recovery vary [ 1 , 33 ]. However, as in non-invasive diagnostic methods, “stenosis” in the imaging report can indicate the possible pathophysiological changes of the surgical patient, facilitate the formulation of a diagnosis and treatment plan that is beneficial to the patient, and as a transcendental examination method, facilitate the early treatment of biliary complications, actively intervene, and reduce organ function damage.…”

“…or secondary surgery. Exclusion criteria: (1) The patients' disease requires surgery after various examinations, such as bile duct stones and tumors mentioned in the inclusion criteria, but no surgical treatment is performed, or the surgical method does not involve the bile duct. For example, in patients with advanced biliary tract tumors who have peritoneal metastasis, only local resection and biopsy are performed on the metastatic focus, but the primary focus isn't treated; (2) accompanied by serious basic diseases, poor general assessment, and may have a greater impact on the prognosis; (3) incomplete case data.…”

“…Biliary diseases are common and frequently encountered in abdominal surgery. With the development of endoscopic [ 1 ], laparoscopic and robot technology, surgeons have more and more standardized principles and appropriate procedures for the diagnosis and treatment of biliary stones, biliary tumors and biliary malformations. With the expansion of the number of operations and the diversification of surgical methods, complications and iatrogenic biliary tract injuries also increase.…”