Endoscopic 3-branched partial stent-in-stent deployment of metallic stents in high-grade malignant hilar biliary stricture (with videos).

Endoscopic 3-branched partial stent-in-stent deployment of metallic stents in high-grade malignant hilar biliary stricture (with videos). Research Abstract Details 

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Endoscopic 3-branched partial stent-in-stent deployment of metallic stents in high-grade malignant hilar biliary stricture (with videos). Abstract Text:

Hirofumi Kawamoto,Koichiro Tsutsumi,Masakuni Fujii,Ryo Harada,Hironari Kato,Ken Hirao,Naoko Kurihara,Takashi Nakanishi,Osamu Mizuno,Etsuji Ishida,Tsuneyoshi Ogawa,Hirotoshi Fukatsu,Kohsaku Sakaguchi,Hirofumi Kawamoto,Koichiro Tsutsumi,Masakuni Fujii,Ryo Harada,Hironari Kato,Ken Hirao,Naoko Kurihara,Takashi Nakanishi,Osamu Mizuno,Etsuji Ishida,Tsuneyoshi Ogawa,Hirotoshi Fukatsu,Kohsaku Sakaguchi,

BACKGROUND: In view of the recent advancement in endoscopic devices for biliary endoscopic intervention, the expert endoscopist can address complex morbidity. However, endoscopic 3-branched partial stent-in-stent deployment of metallic stents (MS) in patients with malignant hilar biliary stricture is technically demanding. OBJECTIVES: To evaluate the efficacy and safety of endoscopic 3-branched partial stent-in-stent deployment of MS. DESIGN: Case study. SETTING: Gastroenterological Center, Okayama University Hospital. PATIENTS: Nine consecutive patients (mean age 63 years, range 52-84 years, mean follow-up period 5 months) with malignant hilar biliary stricture were enrolled. They had cytologically or histologically proven unresectable biliary-tract carcinoma with hilar biliary stricture type IIIa or IV according to Bismuth's classification. INTERVENTIONS: Endoscopic 3-branched partial stent-in-stent deployment of MS in hilar biliary strictures by using a JOSTENT SelfX stent. MAIN OUTCOME MEASUREMENTS: The success rate of the procedure, stent patency time, reinterventions, and complications. RESULTS: Endoscopic 3-branched partial stent-in-stent deployment was successfully accomplished in all cases. The MS became obstructed in 3 cases (33%), mean 1.5 months, range 1.4 to 2.7 months. However, no MS obstruction occurred in the other 6 patients (67%), mean 11 months, range 4.7 to 16.4 months. In the obstructed cases, the deployment of 2 or 3 tube stents was completed successfully. One case of cholecystitis was observed as a short-term complication. LIMITATION: The small number of cases. CONCLUSIONS: Endoscopic 3-branched partial stent-in-stent deployment of a JOSTENT SelfX stent was effective in selected patients with high-grade malignant hilar biliary stricture.

Endoscopic 3-branched partial stent-in-stent deployment of metallic stents in high-grade malignant hilar biliary stricture (with videos). Publishing Authors By Initials

H Kawamoto,K Tsutsumi,M Fujii,R Harada,H Kato,K Hirao,N Kurihara,T Nakanishi,O Mizuno,E Ishida,T Ogawa,H Fukatsu,K Sakaguchi,H Kawamoto,K Tsutsumi,M Fujii,R Harada,H Kato,K Hirao,N Kurihara,T Nakanishi,O Mizuno,E Ishida,T Ogawa,H Fukatsu,K Sakaguchi,

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Endoscopic 3-branched partial stent-in-stent deployment of metallic stents in high-grade malignant hilar biliary stricture (with videos). Journal Published:

PUBLICATION TYPE: Research Support, Non-U.S. Gov

Journal: Gastrointestinal endoscopy

VOLUME: 66

Page Numbers: 1030-7

Journal Abbreviation: Gastrointest. Endosc.

ISSN: 0016-5107

DAY: 29

MONTH: Nov

YEAR: 2007

Endoscopic 3-branched partial stent-in-stent deployment of metallic stents in high-grade malignant hilar biliary stricture (with videos). Information

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LANGUAGE: eng

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AFFILIATION: Department of Gastroenterology and Hepatology, Okayama University Graduates School of Medicine, Dentistry, and Pharmaceutical Science, Okayama, Japan.

Country: United States

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MEDLINETA: Gastrointest Endosc

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