Endoscopic bilateral stent-in-stent placement For malignant hilar obstruction using a large cell type stent

• Published in: Hepatobiliary & pancreatic diseases international Vol. 15; no. 6; pp. 633 - 639
• Main Authors: Park, Jin Myung, Lee, Sang Hyub, Chung, Kwang Hyun, Jang, Dong Kee, Ryu, Ji Kon, Kim, Yong-Tae, Lee, Jae Min, Paik, Woo Hyun
• Format: Journal Article
• Language: English
• Published: Singapore Elsevier B.V 01.12.2016; Department of Internal Medicine and Liver Research Institute, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea%Department of Internal Medicine, Gyeongsang National University Hospital, Gyeongsang National Univer-sity College of Medicine, Jinju, Korea%Department of Internal Medicine, Inje University Ilsan Paik Hospital, Koyang, Korea
• Subjects: Aged; Aged, 80 and over; Bile Duct Neoplasms - complications; Bile Duct Neoplasms - diagnosis; Bile Duct Neoplasms - mortality; biliary tract disease; cholangiocarcinoma; Cholangiocarcinoma - complications; Cholangiocarcinoma - diagnosis; Cholangiocarcinoma - mortality; Cholangiopancreatography, Endoscopic Retrograde - adverse effects; Cholangiopancreatography, Endoscopic Retrograde - instrumentation; Cholestasis - diagnostic imaging; Cholestasis - etiology; Cholestasis - mortality; Cholestasis - therapy; Endocrinology & Metabolism; endoscopic biliary drainage; Female; Gallbladder Neoplasms - complications; Gallbladder Neoplasms - diagnosis; Gallbladder Neoplasms - mortality; Gastroenterology and Hepatology; Humans; Kaplan-Meier Estimate; Male; Middle Aged; Palliative Care; Prosthesis Design; Recurrence; Retrospective Studies; Risk Factors; stent insertion; Stents; Time Factors; Treatment Outcome; endoscopic biliary drainage; stent insertion; biliary tract disease; cholangiocarcinoma

BACKGROUND： Bilateral stent-in-stent （SIS） self-expandable metal stent placement is technically chghallenging for palliation of unresectable malignant hilar obstruction. In the SIS technique, the uniform large cell type biliary stent facilitates contralateral stent deployment through the mesh of the...