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Covered Metallic Stent for Ischemic Hilar Biliary Stricture

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Title: Covered Metallic Stent for Ischemic Hilar Biliary Stricture
Authors: Kawakami, Hiroshi Browse this author →KAKEN DB
Kuwatani, Masaki Browse this author →KAKEN DB
Eto, Kazunori Browse this author
Kudo, Taiki Browse this author
Asaka, Masahiro Browse this author →KAKEN DB
Keywords: hilar biliary stricture
ischemic biliary injury
ischemic biliary stricture
metallic stent
transcatheter arterial chemoembolization
Issue Date: May-2012
Publisher: Wiley-Blackwell
Journal Title: Digestive Endoscopy
Volume: 24
Issue: s1
Start Page: 49
End Page: 54
Publisher DOI: 10.1111/j.1443-1661.2012.01259.x
PMID: 22533752
Abstract: Compared with surgery, endoscopic treatment is safe and highly effective for a postoperative hilar benign bile duct stricture (BDS). However, the long-term outcome of conventional placement of a single biliary stent for hilar benign BDS is generally poor. Although the placement of multiple biliary stents is preferred, multiple stenting in a BDS is difficult. Alternatively, single or multiple stent placement above the papilla ("inside stent") or fully-covered self-expandable metallic stents (SEMSs) are feasible approaches for benign BDS. Nevertheless, controversy remains regarding whether and how to perform endoscopic biliary drainage for a hilar benign BDS. In patients with hilar benign BDS, endoscopic biliary drainage can be performed by placing conventional plastic stents across the papilla, plastic stents above the papilla, or fully covered SEMSs. Individualized treatment should be considered. We report the placement of a fully-covered SEMS for a hilar benign biliary stricture after extended left hepatectomy.
Rights: The definitive version is available at
Type: article (author version)
Appears in Collections:医学院・医学研究院 (Graduate School of Medicine / Faculty of Medicine) > 雑誌発表論文等 (Peer-reviewed Journal Articles, etc)

Submitter: 河上 洋

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