Kikuyama M, Shirane N, Kawaguchi S, Terada S, Mukai T, Sugimoto K. New 14-mm diameter Niti-S biliary uncovered metal stent for unresectable distal biliary malignant obstruction. World J Gastrointest Endosc 2018; 10(1): 16-22 [PMID: 29375737 DOI: 10.4253/wjge.v10.i1.16]
Corresponding Author of This Article
Masataka Kikuyama, MD, PhD, Department of Gastroenterology, Komagome Metropolitan Cancer and Infectious Diseases Center Komagome Hospital, 3-15-22, Honkomagome, Bunnkyo-ku, Tokyo 113-8677, Japan. kikuyama110@cick.jp
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Retrospective Cohort Study
Open-Access Policy of This Article
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World J Gastrointest Endosc. Jan 16, 2018; 10(1): 16-22 Published online Jan 16, 2018. doi: 10.4253/wjge.v10.i1.16
Table 1 Patient characteristics
n = 38
Men/women
21/17
Age (yr)
70 (52-90)
PS (0/1/2)
8/21/9
Diagnosis
Pancreatic cancer
36
Bile duct cancer
1
Metastatic nodes
1
Clinical stage III/IV
1/37
Tumor size (mm)
33 (13-70)
Length of the biliary stricture (mm)
27 (10-60)
Maximum diameter of the proximal bile duct (mm)
13.5 (7-20)
Table 2 Results of stent placement
n (%)
Technical success
38 (100)
Functional success
38 (100)
Selected stent length (60/80 mm)
14/24 (36.8/63.2)
Endoscopic sphincterotomy
20 (52.6)
Previous drainage (RBD/NBD)
9/2 (23.7/5.3)
Replacement for CSEMS
5 (13.2)
Table 3 Retrograde biliary drainage, time to retrograde biliary drainage, and survival time
n (%)
RBO
2 (5.3)
Tumor ingrowth
1 (2.6)
Tumor overgrowth
1 (2.6)
Median TRBO (d)
190 (164-215)
Non-obstruction rates of 3, 6, 12 mo (%)
100, 91, 78
Median survival time (d)
120 (18-502)
Table 4 Complications other than recurrent biliary obstruction
Complications
11/38 (28.9%)
Time to event (d)
Acute cholecystitis
4 (10.3)
3, 32, 217, 487
PEP
3 (7.9)
1 (each)
Hemorrhage
2 (5.3)
92, 119
Fever without exacerbation of liver injury
1 (2.6)
1
Liver abscess
1 (2.6)
17
Citation: Kikuyama M, Shirane N, Kawaguchi S, Terada S, Mukai T, Sugimoto K. New 14-mm diameter Niti-S biliary uncovered metal stent for unresectable distal biliary malignant obstruction. World J Gastrointest Endosc 2018; 10(1): 16-22