Fully covered, self-expandable metal stents for first-step endoscopic treatment of biliary leaks secondary to hepato-biliary surgery: A retrospective study

Abstract Background Fully covered self-expanding metal stents are now being used to treat benign biliary diseases. Aims To assess the outcomes of these stents as first-step therapy in patients with biliary leaks secondary to hepato-biliary surgery. Methods Thirty patients (56.7% males; mean age: 60....

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Published inDigestive and liver disease Vol. 45; no. 5; pp. 430 - 432
Main Authors Mangiavillano, Benedetto, Luigiano, Carmelo, Tarantino, Ilaria, Barresi, Luca, Dinelli, Marco, Frego, Roberto, Bassi, Marco, Fabbri, Carlo, Cennamo, Vincenzo, Viaggi, Paolo, Traina, Mario, Santoro, Tara, Masci, Enzo
Format Journal Article
LanguageEnglish
Published Netherlands Elsevier Ltd 01.05.2013
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Summary:Abstract Background Fully covered self-expanding metal stents are now being used to treat benign biliary diseases. Aims To assess the outcomes of these stents as first-step therapy in patients with biliary leaks secondary to hepato-biliary surgery. Methods Thirty patients (56.7% males; mean age: 60.2 ± 13 years) were retrospectively evaluated. The data collected included technical and clinical success, adverse events and follow-up findings (1, 3 and 6 months). Results Technical and clinical success rates were 100%. One early mild post-procedure pancreatitis occurred and resolved spontaneously. Three late stent distal migrations occurred, however cholangiography showed correct leak sealing in all patients. Stents were removed after a mean of 55.9 days. During follow-up no other complications occurred. Conclusion In our experience fully covered self-expanding metal stent placement was safe and efficacious as first-step therapy for post-operative biliary leaks. However, prospective comparative studies with plastic stents are required to validate these findings.
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ISSN:1590-8658
1878-3562
DOI:10.1016/j.dld.2012.11.013