A Japanese prospective multicenter study of self-expandable metal stent placement for malignant colorectal obstruction: short-term safety and efficacy within 7 days of stent procedure in 513 cases

2015 ◽  
Vol 82 (4) ◽  
pp. 697-707.e1 ◽  
Author(s):  
Takeaki Matsuzawa ◽  
Hideyuki Ishida ◽  
Shuntaro Yoshida ◽  
Hiroyuki Isayama ◽  
Toshio Kuwai ◽  
...  
2011 ◽  
Vol 56 (7) ◽  
pp. 2030-2036 ◽  
Author(s):  
Yong Wuk Kim ◽  
Cheol Woong Choi ◽  
Dae Hwan Kang ◽  
Hyung Wook Kim ◽  
Chung Uk Chung ◽  
...  

2021 ◽  
Vol 10 (13) ◽  
pp. 2936
Author(s):  
Hirofumi Kogure ◽  
Hironari Kato ◽  
Kazumichi Kawakubo ◽  
Hirotoshi Ishiwatari ◽  
Akio Katanuma ◽  
...  

Background: Endoscopic biliary stent placement is the standard of care for biliary strictures, but stents across the papilla are prone to duodenobiliary reflux, which can cause stent occlusion. Preliminary studies of “inside stents” placed above the papilla showed encouraging outcomes, but prospective data with a large cohort were not reported. Methods: This was a prospective multicenter registry of commercially available inside stents for benign and malignant biliary strictures. Primary endpoint was recurrent biliary obstruction (RBO). Secondary endpoints were technical success of stent placement and removal, adverse events, and stricture resolution. Results: A total of 209 inside stents were placed in 132 (51 benign and 81 malignant) cases with biliary strictures in 10 Japanese centers. During the follow-up period of 8.4 months, RBO was observed in 19% of benign strictures. The RBO rate was 49% in malignant strictures, with the median time to RBO of 4.7 months. Technical success rates of stent placement and removal were both 100%. The adverse event rate was 8%. Conclusion: This prospective multicenter study demonstrated that inside stents above the papilla were feasible in malignant and benign biliary strictures, but a randomized controlled trial is warranted to confirm its superiority to conventional stents across the papilla.


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