Author′s response: Endoscopic biodegradable biliary stents in the treatment of benign biliary strictures: First report of clinical use in patients

2017 ◽  
Vol 29 (6) ◽  
pp. 732-732
Author(s):  
Antti Siiki ◽  
Irina Rinta‐Kiikka ◽  
Johanna Laukkarinen
Keyword(s):  
Clinical Use ◽  
Biliary Strictures ◽  
Biliary Stents ◽  
First Report ◽  
Benign Biliary Strictures

Endoscopic biodegradable biliary stents in the treatment of benign biliary strictures: First report of clinical use in patients

2016 ◽  
Vol 29 (1) ◽  
pp. 118-121 ◽  
Author(s):  
Antti Siiki ◽  
Irina Rinta‐Kiikka ◽  
Juhani Sand ◽  
Johanna Laukkarinen
Keyword(s):  
Clinical Use ◽  
Biliary Strictures ◽  
Biliary Stents ◽  
First Report ◽  
Benign Biliary Strictures

Protein expression in benign biliary strictures before and after treatment with metal and biodegradable biliary stents

Pancreatology ◽  
2014 ◽  
Vol 14 (3) ◽  
pp. S2
Author(s):  
Antti Siiki ◽  
Ralf Jesenofsky ◽  
Matthias Löhr ◽  
Isto Nordback ◽  
Minna Kelloniemi ◽  
...  
Keyword(s):  
Protein Expression ◽  
Biliary Strictures ◽  
Biliary Stents ◽  
Benign Biliary Strictures ◽  
Before And After

Biodegradable biliary stents: is it time for a larger application in patients with benign biliary strictures?

2020 ◽  
Vol 127 ◽  
pp. 108994
Author(s):  
Giovanni Mauri ◽  
Lorenzo Pescatori ◽  
Luca Maria Sconfienza
Keyword(s):  
Biliary Strictures ◽  
Biliary Stents ◽  
Benign Biliary Strictures

Benign biliary strictures refractory to standard bilioplasty treated using polydoxanone biodegradable biliary stents: retrospective multicentric data analysis on 107 patients

2016 ◽  
Vol 26 (11) ◽  
pp. 4057-4063 ◽  
Author(s):  
Giovanni Mauri ◽  
Caterina Michelozzi ◽  
Fabio Melchiorre ◽  
Dario Poretti ◽  
Vittorio Pedicini ◽  
...  
Keyword(s):  
Data Analysis ◽  
Biliary Strictures ◽  
Biliary Stents ◽  
Benign Biliary Strictures

scholarly journals Treatment of post-cholecystectomy biliary strictures with fully-covered self-expanding metal stents – results after 5 years of follow-up

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Andrea Tringali ◽  
◽  
D. Nageshwar Reddy ◽  
Thierry Ponchon ◽  
Horst Neuhaus ◽  
...  
Keyword(s):  
Adverse Events ◽  
National Study ◽  
Metal Stents ◽  
Biliary Strictures ◽  
Biliary Stents ◽  
Serious Adverse Events ◽  
Kaplan Meier ◽  
Benign Biliary Strictures ◽  
Self Expanding Metal Stents

Abstract Background Endoscopic treatment of post-cholecystectomy biliary strictures (PCBS) with multiple plastic biliary stents placed sequentially is a minimally invasive alternative to surgery but requires multiple interventions. Temporary placement of a single fully-covered self-expanding metal stent (FCSEMS) may offer safe and effective treatment with fewer re-interventions. Long-term effectiveness of treatment with FCSEMS to obtain PCBS resolution has not yet been studied. Methods In this prospective multi-national study in patients with symptomatic benign biliary strictures (N = 187) due to various etiologies received a FCSEMS with scheduled removal at 6–12 months and were followed for 5 years. We report here long-term outcomes of the subgroup of patients with PCBS (N = 18). Kaplan Meier analyses assessed long-term freedom from re-stenting. Adverse events were documented. Results Endoscopic removal of the FCSEMS was achieved in 83.3% (15/18) of patients after median indwell of 10.9 (range 0.9–13.8) months. In the remaining 3 patients (16.7%), the FCSEMS spontaneously migrated and passed without complications. At the end of FCSEMS indwell, 72% (13/18) of patients had stricture resolution. At 5 years after FCSEMS removal, 84.6% (95% CI 65.0–100.0%) of patients who had stricture resolution at FCSEMS removal remained stent-free. In addition, at 75 months after FCSEMS placement, the probability of remaining stent-free was 61.1% (95% CI 38.6–83.6%) for all patients. Stent or removal related serious adverse events occurred in 38.9% (7/18) all resolved without sequalae. Conclusions In patients with symptomatic PCBS, temporary placement of a single FCSEMS intended for 10–12 months indwell is associated with long-term stricture resolution up to 5 years. Temporary placement of a single FCSEMS may be considered for patients with PCBS not involving the main hepatic confluence. Trial registration numbers NCT01014390; CTRI/2012/12/003166; Registered 17 November 2009.

scholarly journals A pilot study of endoscopically inserted biodegradable biliary stents in the treatment of benign biliary strictures and cystic duct leaks

2018 ◽  
Vol 87 (4) ◽  
pp. 1132-1137 ◽  
Author(s):  
Antti Siiki ◽  
Irina Rinta-Kiikka ◽  
Juhani Sand ◽  
Johanna Laukkarinen
Keyword(s):  
Pilot Study ◽  
Cystic Duct ◽  
Biliary Strictures ◽  
Biliary Stents ◽  
Benign Biliary Strictures
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