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Fully covered self-expandable metallic stents in the management of complex biliary leaks: preliminary data - a case series.

Publication ,  Journal Article
Wang, AY; Ellen, K; Berg, CL; Schmitt, TM; Kahaleh, M
Published in: Endoscopy
September 2009

Techniques for management of bile leaks include biliary sphincterotomy and stenting. Partially covered self-expandable metallic stents have been used in complex bile leaks, but they are associated with migration and hyperplasia. A fully covered self-expandable metallic stent (CSEMS) with anchoring fins might be effective in treating bile leaks without these complications. The aim of this study was to investigate the safety and efficacy of temporary placement of a CSEMS for resolving complex bile leaks. Thirteen patients with complex bile leaks underwent endoscopic retrograde cholangiopancreatography (ERCP) with temporary placement of a CSEMS following cholecystectomy (n = 8) or liver transplantation (n = 5). All patients had resolution of their bile leaks. Two patients developed a stricture below the confluence. Three patients died from unrelated causes. Two deaths occurred prior to CSEMS removal. Ten of 11 patients had evidence of biliary debris at the time of CSEMS removal. Overall, temporary placement of CSEMS is efficacious atresolving bile leaks. CSEMS are less prone to migration, but are associated with ulcerations, de novo choledocholithiasis, and strictures.

Duke Scholars

Published In

Endoscopy

DOI

EISSN

1438-8812

Publication Date

September 2009

Volume

41

Issue

9

Start / End Page

781 / 786

Location

Germany

Related Subject Headings

  • Stents
  • Prosthesis Design
  • Postoperative Complications
  • Middle Aged
  • Male
  • Liver Transplantation
  • Humans
  • Gastroenterology & Hepatology
  • Fluoroscopy
  • Female
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Wang, A. Y., Ellen, K., Berg, C. L., Schmitt, T. M., & Kahaleh, M. (2009). Fully covered self-expandable metallic stents in the management of complex biliary leaks: preliminary data - a case series. Endoscopy, 41(9), 781–786. https://doi.org/10.1055/s-0029-1215050
Wang, A. Y., K. Ellen, C. L. Berg, T. M. Schmitt, and M. Kahaleh. “Fully covered self-expandable metallic stents in the management of complex biliary leaks: preliminary data - a case series.Endoscopy 41, no. 9 (September 2009): 781–86. https://doi.org/10.1055/s-0029-1215050.
Wang AY, Ellen K, Berg CL, Schmitt TM, Kahaleh M. Fully covered self-expandable metallic stents in the management of complex biliary leaks: preliminary data - a case series. Endoscopy. 2009 Sep;41(9):781–6.
Wang, A. Y., et al. “Fully covered self-expandable metallic stents in the management of complex biliary leaks: preliminary data - a case series.Endoscopy, vol. 41, no. 9, Sept. 2009, pp. 781–86. Pubmed, doi:10.1055/s-0029-1215050.
Wang AY, Ellen K, Berg CL, Schmitt TM, Kahaleh M. Fully covered self-expandable metallic stents in the management of complex biliary leaks: preliminary data - a case series. Endoscopy. 2009 Sep;41(9):781–786.
Journal cover image

Published In

Endoscopy

DOI

EISSN

1438-8812

Publication Date

September 2009

Volume

41

Issue

9

Start / End Page

781 / 786

Location

Germany

Related Subject Headings

  • Stents
  • Prosthesis Design
  • Postoperative Complications
  • Middle Aged
  • Male
  • Liver Transplantation
  • Humans
  • Gastroenterology & Hepatology
  • Fluoroscopy
  • Female