"Stent in stent" technique for oesophageal benign hyperplasia. Complications and treatment of fistulas after sleeve gastrectomy.

Cir Esp

Unidad de Cirugía Bariátrica y Metabólica, Servicio de Cirugía General y del Aparato Digestivo, Hospital General Universitario de Elche, Elche, Alicante, España.

Published: February 2015

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http://dx.doi.org/10.1016/j.ciresp.2014.04.008DOI Listing

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Stent implantation is an effective approach for palliative treatment of Bismuth-Corlette type III-IV malignant hilar biliary obstructions (MHBOs). In this article, we reviewed the currently used access methods for biliary stent placement (percutaneous transhepatic biliary drainage, endoscopic biliary drainage, endosonography guided biliary drainage), the available stent types (plastic stent, self-expanding metallic stent, full cover self-expanding metallic stent, radioactive self-expanding metallic stent), major approaches (unilateral, bilateral) and deployment methods (stent-in-stent, stent-by-stent). Finally, this review gives an outlook on perspectives of development in stenting and other palliative methods in MHBO.

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