Self-expandable, Fully Covered Metal Stents in Biliary Strictures Due to Chronic Pancreatitis

Launched by CATHOLIC UNIVERSITY OF THE SACRED HEART · Oct 20, 2011

Keywords

ClinConnect Summary

Endoscopic treatment of benign biliary strictures include the placement of plastic stents or Self-Expandable Metal Stents. Long term results of placement of a single plastic stent are disappointing. Better results have been obtained by endoscopic insertion of multiple plastic stents.

Biliary Self-Expandable Metal Stents used for malignant strictures are uncovered or partially covered with a plastic coating. More recently, fully covered SEMS have been developed and are now available on the market and due to their removability are proposed also for benign indications.

Uncovered and partiall...

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • 1. age ≥18 years,
• • 2. symptomatic (persistent cholestasis, jaundice, cholangitis) common bile duct strictures secondary to CP, that persist 3 months or more after placement of a single 10 French plastic stent and
• • 3. patient unfit for surgery (portal cavernomatosis, comorbidities) or patient refusal of surgery.
• Exclusion Criteria:
• • 1. benign biliary strictures secondary to compression from a pancreatic pseudocyst;
• • 2. patients with associated pancreatic neoplasia
• • 3. ongoing alcohol abuse (ethanol \> 80 g/day).