CC BY-NC-ND 4.0 · Journal of Digestive Endoscopy 2021; 12(01): 059-062
DOI: 10.1055/s-0041-1728841
News

Newer Stents for Unresectable Malignant Distal Biliary Obstruction: Striving for Perfection!

Jimil Shah
1   Department of Gastroenterology, Post Graduate Institute of Medical Education and Research, Chandigarh, India
,
Surinder Singh Rana
1   Department of Gastroenterology, Post Graduate Institute of Medical Education and Research, Chandigarh, India
› Author Affiliations
Funding None.

Abstract

Endoscopic biliary stenting is one of the most commonly used palliative procedure in patients with unresectable malignant distal biliary obstruction. Biliary stenting can be performed with either plastic or metallic stents. Stent occlusion and migration are important limitations of currently available stents. Variety of newer stents with varying designs and stent materials like stents with antimigratory properties, antireflux stents, drug-eluting stents, radioactive stents, and bioabsorbable stents are being developed to overcome the limitations of currently available stents. In this article, we are discussing two articles on the newer stent designs (plastic and metal stents) for biliary drainage in patients with unresectable malignant distal biliary obstruction.



Publication History

Article published online:
17 April 2021

© 2020. Society of Gastrointestinal Endoscopy of India. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India

 
  • Reference

  • 1 Walter D, van Boeckel PGA, Groenen MJ. et al. Cost efficacy of metal stents for palliation of extrahepatic bile duct obstruction in a randomized controlled trial. Gastroenterology 2015; 149 (01) 130-138
  • 2 Yoon WJ, Ryu JK, Yang KY. et al. A comparison of metal and plastic stents for the relief of jaundice in unresectable malignant biliary obstruction in Korea: an emphasis on cost-effectiveness in a country with a low ERCP cost. Gastrointest Endosc 2009; 70 (02) 284-289
  • 3 Sawas T, Al Halabi S, Parsi MA, Vargo JJ. Self-expandable metal stents versus plastic stents for malignant biliary obstruction: a meta-analysis. Gastrointest Endosc 2015; 82 (02) 256-267.e7
  • 4 Siegel JH, Pullano W, Kodsi B, Cooperman A, Ramsey W. Optimal palliation of malignant bile duct obstruction: experience with endoscopic 12 French prostheses. Endoscopy 1988; 20 (04) 137-141
  • 5 Wagh MS, de Bellis M, Fogel EL. et al. Multicenter randomized trial of 10-French versus 11.5-French plastic stents for malignant biliary obstruction. Diagn Ther Endosc 2013; 891915 DOI: 10.1155/2013/891915.
  • 6 Kadakia SC, Starnes E. Comparison of 10 French gauge stent with 11.5 French gauge stent in patients with biliary tract diseases. Gastrointest Endosc 1992; 38 (04) 454-459
  • 7 Pfau PR, Pleskow DK, Banerjee S. et al. ASGE Technology Assessment Committee. Pancreatic and biliary stents. Gastrointest Endosc 2013; 77 (03) 319-327
  • 8 Ito K, Igarashi Y, Mimura T, Kishimoto Y, Kikuchi Y, Okano N. Efficacy of the new double-layer stent for unresectable distal malignant biliary obstruction: a single-center retrospective study. Diagn Ther Endosc 2012; 2012: 680963
  • 9 Matsubara T, Nishida T, Hayashi S. et al. Comparison of double-layer large-diameter and conventional small-diameter plastic stents for preoperative biliary drainage in resectable distal malignant biliary obstruction. Sci Rep 2020; 10 (01) 13222
  • 10 Double layer biliary stent. Olympus America Web sitehttps://medical.olympusamerica.com/products/double-layer-biliary-stent. Accessed Nov 15, 2020
  • 11 Isayama H, Komatsu Y, Tsujino T. et al. A prospective randomised study of “covered” versus “uncovered” diamond stents for the management of distal malignant biliary obstruction. Gut 2004; 53 (05) 729-734
  • 12 Isayama H, Kawakubo K, Nakai Y. et al. A novel, fully covered laser-cut nitinol stent with antimigration properties for nonresectable distal malignant biliary obstruction: a multicenter feasibility study. Gut Liver 2013; 7 (06) 725-730
  • 13 Tanisaka Y, Ryozawa S, Kobayashi M. et al. Endoscopic removal of laser-cut covered self-expandable metallic biliary stents: A report of six cases. Mol ClinOncol 2018; 8 (02) 269-273
  • 14 Deprez PH, Moreels TG, Aouattah T, Piessevaux H, Pérez-Cuadrado-Robles E. A new 12-French plastic stent for unresectable distal malignant biliary obstruction. Endoscopy 2020; 52 (06) 474-482
  • 15 Marui S, Uza N, Yamazaki H. et al. Utility of laser-cut covered self-expandable metal stents for unresectable malignant distal biliary obstruction: a single-center experience. Endoscopy 2020; 52 (08) 664-668
  • 16 Hamada T, Isayama H, Nakai Y, Kogure H, Yamamoto N, Koike K. Tips and troubleshooting for transpapillary metal stenting for distal malignant biliary obstruction. J Hepatobiliary PancreatSci 2014; 21 (03) E12-E18