Suspended over length biliary stents versus conventional plastic biliary stents for the treatment of biliary stricture: A retrospective single-center study
To compare patency between suspended over length biliary stents (SOBSs; made from nasobiliary tube) and conventional plastic biliary stents (CPBSs).We retrospectively analyzed 61 patients with extrahepatic biliary stricture who underwent SOBS placement (intrahepatic bile duct) and 74 patients who un...
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| Veröffentlicht in: | Medicine (Baltimore) 2018-11, Vol.97 (47), p.e13312-e13312 |
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| creator | Yan, Xiue Huang, Yonghui Chang, Hong Zhang, Yaopeng Yao, Wei Li, Ke |
| description | To compare patency between suspended over length biliary stents (SOBSs; made from nasobiliary tube) and conventional plastic biliary stents (CPBSs).We retrospectively analyzed 61 patients with extrahepatic biliary stricture who underwent SOBS placement (intrahepatic bile duct) and 74 patients who underwent CPBS placement. Stent patency and complications were compared.The SOBS group was slightly older and contained more females than the CPBS group but other baseline characteristics were similar. Malignant biliary obstruction accounted for 57.4% (SOBS group) and 45.9% (CPBS group) of cases. Technical success rate, hospital stay and post-procedure complications were similar between groups. Median patency in the CPBS and SOBS group was 116 (2-360) days and 175 (3-480) days, respectively (P |
| doi_str_mv | 10.1097/MD.0000000000013312 |
| format | Article |
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Stent patency and complications were compared.The SOBS group was slightly older and contained more females than the CPBS group but other baseline characteristics were similar. Malignant biliary obstruction accounted for 57.4% (SOBS group) and 45.9% (CPBS group) of cases. Technical success rate, hospital stay and post-procedure complications were similar between groups. Median patency in the CPBS and SOBS group was 116 (2-360) days and 175 (3-480) days, respectively (P <.001). The SOBS group had lower stent occlusion rates than the CPBS group at 3 months (9.8% vs 36.5%), 4 months (22.0% vs 55.4%), 5 months (35.6% vs 67.6%), and 6 months (39.3% vs 77.0%) (all P <.01). In Cox regression analysis, stent type (SOBS vs CPBS) was the only factor associated with patency (hazard ratio [HR]: 3.449; 95% CI: 1.973-6.028; P <.001).SOBS may have better medium-term patency than CPBS for benign/malignant biliary stricture.</description><identifier>ISSN: 0025-7974</identifier><identifier>EISSN: 1536-5964</identifier><identifier>DOI: 10.1097/MD.0000000000013312</identifier><identifier>PMID: 30461643</identifier><language>eng</language><publisher>United States: the Author(s). Published by Wolters Kluwer Health, Inc</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Bile Ducts - pathology ; Bile Ducts - surgery ; Biliary Tract Surgical Procedures - adverse effects ; Biliary Tract Surgical Procedures - instrumentation ; Biliary Tract Surgical Procedures - methods ; Cholestasis, Extrahepatic - etiology ; Cholestasis, Extrahepatic - surgery ; Constriction, Pathologic - surgery ; Female ; Follow-Up Studies ; Humans ; Male ; Middle Aged ; Observational Study ; Postoperative Complications - epidemiology ; Prosthesis Design - adverse effects ; Retrospective Studies ; Stents - adverse effects ; Survival Analysis ; Treatment Outcome</subject><ispartof>Medicine (Baltimore), 2018-11, Vol.97 (47), p.e13312-e13312</ispartof><rights>the Author(s). Published by Wolters Kluwer Health, Inc.</rights><rights>Copyright © 2018 the Author(s). Published by Wolters Kluwer Health, Inc. 2018</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c3554-dc8847baa6bfa5ec24f81bf0e02a048f889079cde0a415f7577e0adfaa5c100d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6392648/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6392648/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30461643$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yan, Xiue</creatorcontrib><creatorcontrib>Huang, Yonghui</creatorcontrib><creatorcontrib>Chang, Hong</creatorcontrib><creatorcontrib>Zhang, Yaopeng</creatorcontrib><creatorcontrib>Yao, Wei</creatorcontrib><creatorcontrib>Li, Ke</creatorcontrib><title>Suspended over length biliary stents versus conventional plastic biliary stents for the treatment of biliary stricture: A retrospective single-center study</title><title>Medicine (Baltimore)</title><addtitle>Medicine (Baltimore)</addtitle><description>To compare patency between suspended over length biliary stents (SOBSs; made from nasobiliary tube) and conventional plastic biliary stents (CPBSs).We retrospectively analyzed 61 patients with extrahepatic biliary stricture who underwent SOBS placement (intrahepatic bile duct) and 74 patients who underwent CPBS placement. Stent patency and complications were compared.The SOBS group was slightly older and contained more females than the CPBS group but other baseline characteristics were similar. Malignant biliary obstruction accounted for 57.4% (SOBS group) and 45.9% (CPBS group) of cases. Technical success rate, hospital stay and post-procedure complications were similar between groups. Median patency in the CPBS and SOBS group was 116 (2-360) days and 175 (3-480) days, respectively (P <.001). The SOBS group had lower stent occlusion rates than the CPBS group at 3 months (9.8% vs 36.5%), 4 months (22.0% vs 55.4%), 5 months (35.6% vs 67.6%), and 6 months (39.3% vs 77.0%) (all P <.01). In Cox regression analysis, stent type (SOBS vs CPBS) was the only factor associated with patency (hazard ratio [HR]: 3.449; 95% CI: 1.973-6.028; P <.001).SOBS may have better medium-term patency than CPBS for benign/malignant biliary stricture.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Bile Ducts - pathology</subject><subject>Bile Ducts - surgery</subject><subject>Biliary Tract Surgical Procedures - adverse effects</subject><subject>Biliary Tract Surgical Procedures - instrumentation</subject><subject>Biliary Tract Surgical Procedures - methods</subject><subject>Cholestasis, Extrahepatic - etiology</subject><subject>Cholestasis, Extrahepatic - surgery</subject><subject>Constriction, Pathologic - surgery</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Observational Study</subject><subject>Postoperative Complications - epidemiology</subject><subject>Prosthesis Design - adverse effects</subject><subject>Retrospective Studies</subject><subject>Stents - adverse effects</subject><subject>Survival Analysis</subject><subject>Treatment Outcome</subject><issn>0025-7974</issn><issn>1536-5964</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkU1v1DAQhi0EokvhFyAhH7mk-DNOOCBVbfmQWnEAzpbjjDcGb7zYzlb9LfxZvGwppb7YnnnmndcehF5SckJJr95cnZ-Qf4tyTtkjtKKSt43sW_EYrQhhslG9EkfoWc7f95Bi4ik64kS0tBV8hX59WfIW5hFGHHeQcIB5XSY8-OBNusG5wFwyrpm8ZGzjvKt3H2cT8DaYXLx9iLqYcJkAlwSmbGoIR3ePSd6WJcFbfIoTlBRrc1v8DnD28zpAY2tFtZHLMt48R0-cCRle3O7H6Nv7i69nH5vLzx8-nZ1eNpZLKZrRdp1QgzHt4IwEy4Tr6OAIEGaI6FzX9UT1dgRiBJVOSaXqcXTGSEsJGfkxenfQ3S7DBsa9hWSC3ia_qaZ1NF7_n5n9pNdxp1ves1Z0VeD1rUCKPxfIRW98thCCmSEuWTPKWyk6SfqK8gNq69tzAnfXhhK9H6u-OtcPx1qrXt13eFfzd44VEAfgOob6f_lHWK4h6QlMKNMfPal61jBCO0oZJU2NCMF_A5Uzs6A</recordid><startdate>20181101</startdate><enddate>20181101</enddate><creator>Yan, Xiue</creator><creator>Huang, Yonghui</creator><creator>Chang, Hong</creator><creator>Zhang, Yaopeng</creator><creator>Yao, Wei</creator><creator>Li, Ke</creator><general>the Author(s). Published by Wolters Kluwer Health, Inc</general><general>Wolters Kluwer Health</general><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><scope>5PM</scope></search><sort><creationdate>20181101</creationdate><title>Suspended over length biliary stents versus conventional plastic biliary stents for the treatment of biliary stricture: A retrospective single-center study</title><author>Yan, Xiue ; Huang, Yonghui ; Chang, Hong ; Zhang, Yaopeng ; Yao, Wei ; Li, Ke</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3554-dc8847baa6bfa5ec24f81bf0e02a048f889079cde0a415f7577e0adfaa5c100d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Bile Ducts - pathology</topic><topic>Bile Ducts - surgery</topic><topic>Biliary Tract Surgical Procedures - adverse effects</topic><topic>Biliary Tract Surgical Procedures - instrumentation</topic><topic>Biliary Tract Surgical Procedures - methods</topic><topic>Cholestasis, Extrahepatic - etiology</topic><topic>Cholestasis, Extrahepatic - surgery</topic><topic>Constriction, Pathologic - surgery</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Observational Study</topic><topic>Postoperative Complications - epidemiology</topic><topic>Prosthesis Design - adverse effects</topic><topic>Retrospective Studies</topic><topic>Stents - adverse effects</topic><topic>Survival Analysis</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yan, Xiue</creatorcontrib><creatorcontrib>Huang, Yonghui</creatorcontrib><creatorcontrib>Chang, Hong</creatorcontrib><creatorcontrib>Zhang, Yaopeng</creatorcontrib><creatorcontrib>Yao, Wei</creatorcontrib><creatorcontrib>Li, Ke</creatorcontrib><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><collection>PubMed Central (Full Participant titles)</collection><jtitle>Medicine (Baltimore)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yan, Xiue</au><au>Huang, Yonghui</au><au>Chang, Hong</au><au>Zhang, Yaopeng</au><au>Yao, Wei</au><au>Li, Ke</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Suspended over length biliary stents versus conventional plastic biliary stents for the treatment of biliary stricture: A retrospective single-center study</atitle><jtitle>Medicine (Baltimore)</jtitle><addtitle>Medicine (Baltimore)</addtitle><date>2018-11-01</date><risdate>2018</risdate><volume>97</volume><issue>47</issue><spage>e13312</spage><epage>e13312</epage><pages>e13312-e13312</pages><issn>0025-7974</issn><eissn>1536-5964</eissn><abstract>To compare patency between suspended over length biliary stents (SOBSs; made from nasobiliary tube) and conventional plastic biliary stents (CPBSs).We retrospectively analyzed 61 patients with extrahepatic biliary stricture who underwent SOBS placement (intrahepatic bile duct) and 74 patients who underwent CPBS placement. Stent patency and complications were compared.The SOBS group was slightly older and contained more females than the CPBS group but other baseline characteristics were similar. Malignant biliary obstruction accounted for 57.4% (SOBS group) and 45.9% (CPBS group) of cases. Technical success rate, hospital stay and post-procedure complications were similar between groups. Median patency in the CPBS and SOBS group was 116 (2-360) days and 175 (3-480) days, respectively (P <.001). The SOBS group had lower stent occlusion rates than the CPBS group at 3 months (9.8% vs 36.5%), 4 months (22.0% vs 55.4%), 5 months (35.6% vs 67.6%), and 6 months (39.3% vs 77.0%) (all P <.01). In Cox regression analysis, stent type (SOBS vs CPBS) was the only factor associated with patency (hazard ratio [HR]: 3.449; 95% CI: 1.973-6.028; P <.001).SOBS may have better medium-term patency than CPBS for benign/malignant biliary stricture.</abstract><cop>United States</cop><pub>the Author(s). Published by Wolters Kluwer Health, Inc</pub><pmid>30461643</pmid><doi>10.1097/MD.0000000000013312</doi><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Wolters Kluwer Open Health; IngentaConnect Free/Open Access Journals; PubMed Central; Alma/SFX Local Collection |
| subjects | Adult Aged Aged, 80 and over Bile Ducts - pathology Bile Ducts - surgery Biliary Tract Surgical Procedures - adverse effects Biliary Tract Surgical Procedures - instrumentation Biliary Tract Surgical Procedures - methods Cholestasis, Extrahepatic - etiology Cholestasis, Extrahepatic - surgery Constriction, Pathologic - surgery Female Follow-Up Studies Humans Male Middle Aged Observational Study Postoperative Complications - epidemiology Prosthesis Design - adverse effects Retrospective Studies Stents - adverse effects Survival Analysis Treatment Outcome |
| title | Suspended over length biliary stents versus conventional plastic biliary stents for the treatment of biliary stricture: A retrospective single-center study |
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