Safety and efficacy of transpapillary bridged bilateral side-by-side stenting for unresectable malignant hilar biliary obstruction
To the Editor:Biliary drainage is most frequently performed among endoscopic procedures using pancreatobiliary endoscopy.A large-diameter metallic stent can significantly extend the patency period rather than a plastic stent for extrahepatic biliary stricture.[1] However, the optimal drainage for th...
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| Veröffentlicht in: | Hepatobiliary & pancreatic diseases international 2017-12, Vol.16 (6), p.659-661 |
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| creator | Maruyama, Hirotsugu Tominaga, Kazunari Kato, Kunihiro Sugimori, Satoshi Shiba, Masatsugu Watanabe, Toshio Fujiwara, Yasuhiro |
| description | To the Editor:Biliary drainage is most frequently performed among endoscopic procedures using pancreatobiliary endoscopy.A large-diameter metallic stent can significantly extend the patency period rather than a plastic stent for extrahepatic biliary stricture.[1] However, the optimal drainage for the hilar biliary obstruction is still controversial.Various techniques have been attempted for unresectable malignant hilar biliary obstruction.[2] There are also some controversies regarding unilateral versus bilateral liver drainage.[3, 4] Recent studies have reported that at least 50% drainage of liver volume achieves sufficient efficacy or longer survival in patients with malignant hilar obstruction.[3, 5] Therefore, multiple kinds of endoscopic placements of self-expandable metallic stents (SEMSs)may be required. However, despite recent innovations in endoscopic technology, bilateral SEMS placement may be difficult and challenging. As the reasons, insert a second stent through tight stricture, adjustment of the lower end of the SEMSs, and re-intervention under fluoroscopy are difficult associated with bilateral side-by-side stenting. |
| doi_str_mv | 10.1016/S1499-3872(17)60072-9 |
| format | Article |
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However, despite recent innovations in endoscopic technology, bilateral SEMS placement may be difficult and challenging. As the reasons, insert a second stent through tight stricture, adjustment of the lower end of the SEMSs, and re-intervention under fluoroscopy are difficult associated with bilateral side-by-side stenting.</description><identifier>ISSN: 1499-3872</identifier><identifier>DOI: 10.1016/S1499-3872(17)60072-9</identifier><identifier>PMID: 29291787</identifier><language>eng</language><publisher>Singapore: Elsevier B.V</publisher><subject>Aged ; Bile Duct Neoplasms - complications ; Bile Duct Neoplasms - diagnostic imaging ; Bile Duct Neoplasms - pathology ; Cholangiopancreatography, Endoscopic Retrograde - adverse effects ; Cholangiopancreatography, Endoscopic Retrograde - instrumentation ; Cholestasis - diagnostic imaging ; Cholestasis - etiology ; Cholestasis - pathology ; Cholestasis - therapy ; Drainage - adverse effects ; Drainage - instrumentation ; Female ; Gallbladder Neoplasms - complications ; Gallbladder Neoplasms - diagnostic imaging ; Gallbladder Neoplasms - pathology ; Humans ; Male ; Middle Aged ; Palliative Care ; Prosthesis Design ; SEMSs;BiliaryBiliary ; Stents ; Treatment Outcome</subject><ispartof>Hepatobiliary & pancreatic diseases international, 2017-12, Vol.16 (6), p.659-661</ispartof><rights>2017 The Editorial Board of Hepatobiliary & Pancreatic Diseases International</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c393t-57f016bdad7438b84e16c830678c1c5202aaa977f5e74a4cd57cdb3523d3d2823</citedby><cites>FETCH-LOGICAL-c393t-57f016bdad7438b84e16c830678c1c5202aaa977f5e74a4cd57cdb3523d3d2823</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Uhttp://image.cqvip.com/vip1000/qk/89801X/89801X.jpg</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S1499387217600729$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29291787$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Maruyama, Hirotsugu</creatorcontrib><creatorcontrib>Tominaga, Kazunari</creatorcontrib><creatorcontrib>Kato, Kunihiro</creatorcontrib><creatorcontrib>Sugimori, Satoshi</creatorcontrib><creatorcontrib>Shiba, Masatsugu</creatorcontrib><creatorcontrib>Watanabe, Toshio</creatorcontrib><creatorcontrib>Fujiwara, Yasuhiro</creatorcontrib><title>Safety and efficacy of transpapillary bridged bilateral side-by-side stenting for unresectable malignant hilar biliary obstruction</title><title>Hepatobiliary & pancreatic diseases international</title><addtitle>Hepatobiliary & Pancreatic Diseases International</addtitle><description>To the Editor:Biliary drainage is most frequently performed among endoscopic procedures using pancreatobiliary endoscopy.A large-diameter metallic stent can significantly extend the patency period rather than a plastic stent for extrahepatic biliary stricture.[1] However, the optimal drainage for the hilar biliary obstruction is still controversial.Various techniques have been attempted for unresectable malignant hilar biliary obstruction.[2] There are also some controversies regarding unilateral versus bilateral liver drainage.[3, 4] Recent studies have reported that at least 50% drainage of liver volume achieves sufficient efficacy or longer survival in patients with malignant hilar obstruction.[3, 5] Therefore, multiple kinds of endoscopic placements of self-expandable metallic stents (SEMSs)may be required. However, despite recent innovations in endoscopic technology, bilateral SEMS placement may be difficult and challenging. As the reasons, insert a second stent through tight stricture, adjustment of the lower end of the SEMSs, and re-intervention under fluoroscopy are difficult associated with bilateral side-by-side stenting.</description><subject>Aged</subject><subject>Bile Duct Neoplasms - complications</subject><subject>Bile Duct Neoplasms - diagnostic imaging</subject><subject>Bile Duct Neoplasms - pathology</subject><subject>Cholangiopancreatography, Endoscopic Retrograde - adverse effects</subject><subject>Cholangiopancreatography, Endoscopic Retrograde - instrumentation</subject><subject>Cholestasis - diagnostic imaging</subject><subject>Cholestasis - etiology</subject><subject>Cholestasis - pathology</subject><subject>Cholestasis - therapy</subject><subject>Drainage - adverse effects</subject><subject>Drainage - instrumentation</subject><subject>Female</subject><subject>Gallbladder Neoplasms - complications</subject><subject>Gallbladder Neoplasms - diagnostic imaging</subject><subject>Gallbladder Neoplasms - pathology</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Palliative Care</subject><subject>Prosthesis Design</subject><subject>SEMSs;BiliaryBiliary</subject><subject>Stents</subject><subject>Treatment Outcome</subject><issn>1499-3872</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkDtvFDEQx7cAkRD4CCBLNKFY8GO9tiuEIl5SpBRJasuP8cVoz3uxvUjX5pPjzR3XUo00-j9mfl33juBPBJPx8y0ZlOqZFPSSiI8jxoL26kV3flqfda9L-Y0xlZKPr7ozqqgiQorz7unWBKh7ZJJHEEJ0xu3RHFDNJpWd2cVpMnmPbI5-Ax7ZOJkK2UyoRA-93ffrRKVCqjFtUJgzWlKGAq4aOwHamilukkkVPTRrXgPiGjjbUvPiapzTm-5lMFOBt8d50d1__3Z39bO_vvnx6-rrde-YYrXnIrRfrTdeDExaOQAZnWR4FNIRxymmxhglROAgBjM4z4XzlnHKPPNUUnbRXR5yd3l-XKBUvY3FQXswwbwUTZRkkvNxGJqUH6Quz6VkCHqX47bdrQnWK3L9jFyvbDUR-hm5Vs33_lix2C34k-sf7yb4chBAe_RPhKyLi5Ac-JgbMu3n-N-KD8fTHua0eWzQTy0CY8wEkXRkfwEofKFk</recordid><startdate>20171215</startdate><enddate>20171215</enddate><creator>Maruyama, Hirotsugu</creator><creator>Tominaga, Kazunari</creator><creator>Kato, Kunihiro</creator><creator>Sugimori, Satoshi</creator><creator>Shiba, Masatsugu</creator><creator>Watanabe, Toshio</creator><creator>Fujiwara, Yasuhiro</creator><general>Elsevier B.V</general><scope>2RA</scope><scope>92L</scope><scope>CQIGP</scope><scope>W91</scope><scope>~WA</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20171215</creationdate><title>Safety and efficacy of transpapillary bridged bilateral side-by-side stenting for unresectable malignant hilar biliary obstruction</title><author>Maruyama, Hirotsugu ; Tominaga, Kazunari ; Kato, Kunihiro ; Sugimori, Satoshi ; Shiba, Masatsugu ; Watanabe, Toshio ; Fujiwara, Yasuhiro</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c393t-57f016bdad7438b84e16c830678c1c5202aaa977f5e74a4cd57cdb3523d3d2823</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Aged</topic><topic>Bile Duct Neoplasms - complications</topic><topic>Bile Duct Neoplasms - diagnostic imaging</topic><topic>Bile Duct Neoplasms - pathology</topic><topic>Cholangiopancreatography, Endoscopic Retrograde - adverse effects</topic><topic>Cholangiopancreatography, Endoscopic Retrograde - instrumentation</topic><topic>Cholestasis - diagnostic imaging</topic><topic>Cholestasis - etiology</topic><topic>Cholestasis - pathology</topic><topic>Cholestasis - therapy</topic><topic>Drainage - adverse effects</topic><topic>Drainage - instrumentation</topic><topic>Female</topic><topic>Gallbladder Neoplasms - complications</topic><topic>Gallbladder Neoplasms - diagnostic imaging</topic><topic>Gallbladder Neoplasms - pathology</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Palliative Care</topic><topic>Prosthesis Design</topic><topic>SEMSs;BiliaryBiliary</topic><topic>Stents</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Maruyama, Hirotsugu</creatorcontrib><creatorcontrib>Tominaga, Kazunari</creatorcontrib><creatorcontrib>Kato, Kunihiro</creatorcontrib><creatorcontrib>Sugimori, Satoshi</creatorcontrib><creatorcontrib>Shiba, Masatsugu</creatorcontrib><creatorcontrib>Watanabe, Toshio</creatorcontrib><creatorcontrib>Fujiwara, Yasuhiro</creatorcontrib><collection>中文科技期刊数据库</collection><collection>中文科技期刊数据库-CALIS站点</collection><collection>中文科技期刊数据库-7.0平台</collection><collection>中文科技期刊数据库-医药卫生</collection><collection>中文科技期刊数据库- 镜像站点</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Hepatobiliary & pancreatic diseases international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Maruyama, Hirotsugu</au><au>Tominaga, Kazunari</au><au>Kato, Kunihiro</au><au>Sugimori, Satoshi</au><au>Shiba, Masatsugu</au><au>Watanabe, Toshio</au><au>Fujiwara, Yasuhiro</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Safety and efficacy of transpapillary bridged bilateral side-by-side stenting for unresectable malignant hilar biliary obstruction</atitle><jtitle>Hepatobiliary & pancreatic diseases international</jtitle><addtitle>Hepatobiliary & Pancreatic Diseases International</addtitle><date>2017-12-15</date><risdate>2017</risdate><volume>16</volume><issue>6</issue><spage>659</spage><epage>661</epage><pages>659-661</pages><issn>1499-3872</issn><abstract>To the Editor:Biliary drainage is most frequently performed among endoscopic procedures using pancreatobiliary endoscopy.A large-diameter metallic stent can significantly extend the patency period rather than a plastic stent for extrahepatic biliary stricture.[1] However, the optimal drainage for the hilar biliary obstruction is still controversial.Various techniques have been attempted for unresectable malignant hilar biliary obstruction.[2] There are also some controversies regarding unilateral versus bilateral liver drainage.[3, 4] Recent studies have reported that at least 50% drainage of liver volume achieves sufficient efficacy or longer survival in patients with malignant hilar obstruction.[3, 5] Therefore, multiple kinds of endoscopic placements of self-expandable metallic stents (SEMSs)may be required. However, despite recent innovations in endoscopic technology, bilateral SEMS placement may be difficult and challenging. As the reasons, insert a second stent through tight stricture, adjustment of the lower end of the SEMSs, and re-intervention under fluoroscopy are difficult associated with bilateral side-by-side stenting.</abstract><cop>Singapore</cop><pub>Elsevier B.V</pub><pmid>29291787</pmid><doi>10.1016/S1499-3872(17)60072-9</doi><tpages>3</tpages></addata></record> |
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| source | MEDLINE; Elsevier ScienceDirect Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | Aged Bile Duct Neoplasms - complications Bile Duct Neoplasms - diagnostic imaging Bile Duct Neoplasms - pathology Cholangiopancreatography, Endoscopic Retrograde - adverse effects Cholangiopancreatography, Endoscopic Retrograde - instrumentation Cholestasis - diagnostic imaging Cholestasis - etiology Cholestasis - pathology Cholestasis - therapy Drainage - adverse effects Drainage - instrumentation Female Gallbladder Neoplasms - complications Gallbladder Neoplasms - diagnostic imaging Gallbladder Neoplasms - pathology Humans Male Middle Aged Palliative Care Prosthesis Design SEMSs BiliaryBiliary Stents Treatment Outcome |
| title | Safety and efficacy of transpapillary bridged bilateral side-by-side stenting for unresectable malignant hilar biliary obstruction |
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