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Endoscopic removal of laser-cut covered self-expandable metallic biliary stents: A report of six cases. | LitMetric

AI Article Synopsis

  • * A study involved 6 patients who had these stents placed and later attempted endoscopic removal due to recurrent biliary obstruction (RBO), marking the first report on this procedure for laser-cut CSEMS.
  • * The results showed a 100% success rate for stent removal, with an average placement duration of 156 days, procedural time of about 12 minutes, and no complications reported during the process.

Article Abstract

Covered self-expandable metallic stents (CSEMS) may provide palliative drainage for unresectable distal malignant biliary strictures. Laser-cut CSEMS allows easy positioning due to its characteristic of minimal stent shortening. Endoscopic stent removal is sometimes recommended for recurrent biliary obstruction (RBO). However, there are no previous reports of endoscopic removal of laser-cut CSEMS. The current study presents data from 6 patients who were placed a laser-cut CSEMS for unresectable distal malignant biliary strictures, and later endoscopic stent removal was attempted for RBO at the present institute. The duration of stent placement, the procedural success rate, the procedural duration, and accidental complications were evaluated. The mean duration of stent placement was 156±37.9 days (range, 117-205). The procedural success rate was 100%. The mean procedural duration was 11.8±7.5 min (range, 5-24). No complications were reported. Laser-cut CSEMS were safely removed from all patients. The present case report is the first to demonstrate that Endoscopic stent removal of laser-cut CSEMS was safely performed.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5774517PMC
http://dx.doi.org/10.3892/mco.2017.1515DOI Listing

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