scholarly journals A Comparison of Y-Type and T-Type Metallic Bilateral Biliary Stents in Patients with Malignant Hilar Biliary Obstruction

2013 ◽  
Vol 68 (4) ◽  
pp. 297 ◽  
Author(s):  
Esther Koh ◽  
Gong Yong Jin ◽  
Seung Bae Hwang ◽  
Eun Jung Choi ◽  
Ji Soo Song ◽  
...  
Keyword(s):  
Biliary Obstruction ◽  
Biliary Stents ◽  
Hilar Biliary Obstruction ◽  
Malignant Hilar Biliary Obstruction

scholarly journals Fishing line assisted endoscopic placement of multiple plastic biliary stents for unresectable malignant hilar biliary obstruction: a retrospective study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Huahui Zhang ◽  
Fengdong Li ◽  
Jian Huang ◽  
Chunyan Huo ◽  
Jin Huang
Keyword(s):  
Adverse Events ◽  
Biliary Obstruction ◽  
Migration Rate ◽  
Stent Migration ◽  
Success Rates ◽  
Technical Success ◽  
Biliary Stents ◽  
Hilar Biliary Obstruction ◽  
Endoscopic Placement ◽  
Malignant Hilar Biliary Obstruction

Abstract Background and aims Stent migration is one of the most common complications during the placement of multiple plastic biliary stents (MPBS) under endoscopy. This study aims to evaluate the feasibility and efficiency of the fishing line assisted (FLA) method for preventing the complication. Methods Patients with unresectable malignant hilar biliary obstruction (MHBO) who undergone endoscopic placement of MPBS using the FLA or conventional method from May 2018 to April 2021 in our center were enrolled in the study. The endpoints of this study were the stent migration rate, technical success rates, adverse events rates, times of stent migration, and the procedure time. Results FLA group (N = 19) and conventional group (N = 22) had similar baseline characteristics of the patients. The technical success rates (100% vs. 95.5%; P > 0.05), ERCP-related adverse events rates (5.3% vs. 4.5%; P > 0.05), and the stent-related adverse events rates (0% vs. 4.5%; P > 0.05) were no significant differences between the FLA and conventional groups. MPBS inserted using the conventional method consumed more time (median, 33.9 min vs. 15.6 min; P < 0.05) method and increased the times of stent migration (median, 3 times vs. 0 times; P < 0.05) than using the FLA method. Even if no statistical difference was detected in the stent migration rate between groups, this rate was lower in the FLA group than the conventional group (0% vs. 13.6%; P > 0.05). Conclusions FLA method is an effective technique for MPBS implantation to prevent stent migration during endoscopic retrograde cholangiography (ERCP). The method should be applied to patients with unresectable MHBO who need to place MPBS.

scholarly journals Percutaneous stent placement for malignant hilar biliary obstruction: side-by-side versus stent-in-stent technique

2020 ◽  
Author(s):  
Wei-zhong Zhou ◽  
Sheng Liu ◽  
Zheng-Qiang Yang ◽  
Yu-Tao Xian ◽  
Hong-Dou Xu ◽  
...  
Keyword(s):  
Overall Survival ◽  
Biliary Obstruction ◽  
Serum Bilirubin Level ◽  
Stent Insertion ◽  
Technical Success ◽  
Stent Deployment ◽  
Stent Patency ◽  
Hilar Biliary Obstruction ◽  
Bilateral Stenting ◽  
Malignant Hilar Biliary Obstruction

Abstract Background: Currently, side-by-side (SBS) and stent-in-stent (SIS) are the two main techniques for stent deployment to treat hilar biliary obstructions. Previous studies comparing these two techniques are very limited, and thus, no consensus has been reached on which technique is better. The purpose of this study is to compare the clinical efficacy and safety of SBS and SIS deployment via a percutaneous approach for malignant hilar biliary obstruction.Methods: From July 2012 to April 2019, 65 patients with malignant hilar biliary obstruction who underwent bilateral stenting using either the SBS or SIS techniques were included in this study. Among them, 27 patients underwent SIS stent insertion (SIS group), and the remaining 38 patients underwent SBS stent insertion (SBS group). Technical success, improvement of jaundice, complications, duration of stent patency, and overall survival were evaluated.Results: Technical success was achieved in all patients in the two groups. The serum bilirubin level decreased more rapidly 1 week after the procedures in the SBS group than in the SIS group (P=0.02). Although the total complication rate did not differ between the two groups, cholangitis was found to be more frequent in the SIS group (P=0.04). The median stent patency was significantly longer in the SBS group (149 days) than in the SIS group (75 days; P=0.02). The median overall survival did not significantly differ between the two groups (SBS vs. SIS, 155 days vs. 143 days; P>0.05).Conclusions: Percutaneous transhepatic bilateral stenting using either the SBS or SIS technique is safe and effective in the management of malignant hilar biliary obstruction. However, SBS offers a quicker improvement of jaundice, a lower incidence of cholangitis after the procedure, and a longer stent patency period than SIS.

Management of malignant hilar biliary obstruction by endoscopy results and prognostic factors

1992 ◽  
Vol 37 (5) ◽  
pp. 778-783 ◽  
Author(s):  
M. Ducreux ◽  
Cl. Liguory ◽  
J. F. Lefebvre ◽  
O. Ink ◽  
A. Choury ◽  
...  
Keyword(s):  
Prognostic Factors ◽  
Biliary Obstruction ◽  
Hilar Biliary Obstruction ◽  
Malignant Hilar Biliary Obstruction
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