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©2011 Baishideng Publishing Group Co.
World J Gastroenterol. Jan 7, 2011; 17(1): 98-104
Published online Jan 7, 2011. doi: 10.3748/wjg.v17.i1.98
Published online Jan 7, 2011. doi: 10.3748/wjg.v17.i1.98
Table 1 Patient characteristics
| Flexus | Hanaro | Wallstent | All stents | |
| No. of patients | 14 | 21 | 19 | 54 |
| Sex (M/F) | 5/9 | 9/12 | 9/10 | 23/31 |
| Median age (range) | 75 (59-86) | 69 (54-83) | 73 (60-83) | 71 (54-86) |
| Indication | ||||
| Pancreatic cancer | 7 | 12 | 9 | 28 |
| Biliary cancer | 3 | 3 | 4 | 10 |
| Hilar metastatic lymphadenopathy | 1 | 4 | 2 | 7 |
| Papillary tumor | 3 | 2 | 3 | 8 |
| Hepatocellular carcinoma | 1 | 1 | ||
| Hepatic metastases | 1 | 3 | 2 | 6 |
| Prior plastic stent | 5 | 2 | 2 | 9 |
| Presentation of first occlusion | ||||
| Painless jaundice | 3 | 12 | 8 | 23 |
| Cholangitis | 11 | 9 | 11 | 31 |
| Cause of obstruction | ||||
| Ingrowth | 7 | 16 | 12 | 35 |
| Overgrowth | 4 | 5 | 5 | 14 |
| Sludge and/or debris | 3 | 2 | 5 | |
| Median time to first occlusion (range) (d) | 228.5 (178-398) | 248 (74-582) | 176 (98-754) | 242.5 (7-754) |
| Type of intervention for first occlusion | ||||
| Self-expanding metal stent | 5 | 15 | 5 | 25 |
| Plastic stent | 6 | 6 | 12 | 24 |
| Mechanical cleaning | 3 | 2 | 5 |
Table 2 Outcomes of interventions and financial cost in the course of treatment of first self-expanding metal stent occlusion, median (range) (d)
| Plastic stent | Second SEMS | Mechanical cleaning | All types | P | |
| Intervention for first occlusion | |||||
| No. of patients | 24 | 25 | 5 | 54 | |
| Νo further interventions required | |||||
| No. of patients | 13 (54.2%) | 17 (68%) | 1 (20%) | 31 (57.4%) | |
| Survival after first occlusion without further interventions | 84 (40-179) | 116 (62-227) | 39 | 97 (39-227) | |
| Further intervention(s) required | |||||
| No. of patients | 11 (45.8%) | 8 (32%) | 4 (80%) | 23 (42.6%) | |
| Types of intervention | 11 plastic stents insertion | 5 plastic stents insertion | 3 plastic stents insertion | 19 plastic stents insertion | |
| 3 mechanical cleaning | 1 insertion of SEMS | 1 insertion of SEMS | |||
| 3 mechanical cleaning | |||||
| Time to second occlusion (d) | 91 (60-74) | 144 (26-331) | 112 (21-180) | 96 (21-331) | |
| Overall second stent patency | 106 (39-645) | 133 (26-331) | 0.856 | ||
| Second stent patency | 88 (40-179) | 133 (26-331) | < 0.001 | ||
| Survival after first occlusion | 106 (40-645) | 177 (60-870) | 210 (39-390) | 142 (39-870) | 0.180 |
| Number of interventions per patient | 1 (1-5) | 1 (1-4) | 2 (1-3) | 1 (1-5) | 0.199 |
| Cost per patient in euros | 590 (380-2550) | 2170 (1870-3620) | 1020 (380-2550) | 1685 (380-3620) | < 0.001 |
- Citation: Katsinelos P, Beltsis A, Chatzimavroudis G, Paikos D, Paroutoglou G, Kapetanos D, Terzoudis S, Lazaraki G, Pilpilidis I, Fasoulas K, Atmatzidis S, Zavos C, Kountouras J. Endoscopic management of occluded biliary uncovered metal stents: A multicenter experience. World J Gastroenterol 2011; 17(1): 98-104
- URL: https://www.wjgnet.com/1007-9327/full/v17/i1/98.htm
- DOI: https://dx.doi.org/10.3748/wjg.v17.i1.98