Extrabiliary applications of fully covered antimigration biliary metal stents
Background and Aims: Endoscopic stent placement in luminal GI strictures is not always feasible with traditional stents. For example, standard luminal stent delivery catheters may not successfully traverse severe strictures, and enteral stents may not be suitable for sites in the GI tract that pose...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2020-09-01
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| Series: | VideoGIE |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2468448120301533 |
| _version_ | 1797754860204982272 |
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| author | Fateh Bazerbachi, MD Kavel H. Visrodia, MD Georgios Mavrogenis, MD Louis M. Wong Kee Song, MD Navtej S. Buttar, MD |
| author_facet | Fateh Bazerbachi, MD Kavel H. Visrodia, MD Georgios Mavrogenis, MD Louis M. Wong Kee Song, MD Navtej S. Buttar, MD |
| author_sort | Fateh Bazerbachi, MD |
| collection | DOAJ |
| description | Background and Aims: Endoscopic stent placement in luminal GI strictures is not always feasible with traditional stents. For example, standard luminal stent delivery catheters may not successfully traverse severe strictures, and enteral stents may not be suitable for sites in the GI tract that pose significant adverse events if downstream migration were to occur. We demonstrate extrabiliary applications of specialized, fully covered antimigration biliary metal stents. Methods: This is a retrospective series of 4 patients with different benign and malignant luminal GI strictures who underwent placement of fully covered antimigration biliary metal stents in different configurations as a bridge or destination therapy. Results: Luminal obstruction resolved without adverse events in all cases. Conclusions: Although off label, extrabiliary use of these stents can successfully address scenarios of complex luminal pathology. To compensate for the small stent caliber, two stents may be placed side by side in a double-barrel configuration. Strict diet modifications are necessary when applying this therapeutic paradigm. |
| first_indexed | 2024-03-12T17:38:35Z |
| format | Article |
| id | doaj.art-476536f551f84dc5948daa9e907dbddc |
| institution | Directory Open Access Journal |
| issn | 2468-4481 |
| language | English |
| last_indexed | 2024-03-12T17:38:35Z |
| publishDate | 2020-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | VideoGIE |
| spelling | doaj.art-476536f551f84dc5948daa9e907dbddc2023-08-04T05:50:29ZengElsevierVideoGIE2468-44812020-09-0159437441Extrabiliary applications of fully covered antimigration biliary metal stentsFateh Bazerbachi, MD0Kavel H. Visrodia, MD1Georgios Mavrogenis, MD2Louis M. Wong Kee Song, MD3Navtej S. Buttar, MD4Division of Gastroenterology, Massachusetts General Hospital, Boston, Massachusetts; Correspondence to: Fateh Bazerbachi, MD, Instructor in Medicine, Harvard Medical School, Division of Gastroenterology, Department of Medicine, Massachusetts General Hospital.Division of Gastroenterology, Massachusetts General Hospital, Boston, MassachusettsDepartment of Gastroenterology, Mediterraneo Hospital, Athens, GreeceDivision of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MinnesotaDivision of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MinnesotaBackground and Aims: Endoscopic stent placement in luminal GI strictures is not always feasible with traditional stents. For example, standard luminal stent delivery catheters may not successfully traverse severe strictures, and enteral stents may not be suitable for sites in the GI tract that pose significant adverse events if downstream migration were to occur. We demonstrate extrabiliary applications of specialized, fully covered antimigration biliary metal stents. Methods: This is a retrospective series of 4 patients with different benign and malignant luminal GI strictures who underwent placement of fully covered antimigration biliary metal stents in different configurations as a bridge or destination therapy. Results: Luminal obstruction resolved without adverse events in all cases. Conclusions: Although off label, extrabiliary use of these stents can successfully address scenarios of complex luminal pathology. To compensate for the small stent caliber, two stents may be placed side by side in a double-barrel configuration. Strict diet modifications are necessary when applying this therapeutic paradigm.http://www.sciencedirect.com/science/article/pii/S2468448120301533 |
| spellingShingle | Fateh Bazerbachi, MD Kavel H. Visrodia, MD Georgios Mavrogenis, MD Louis M. Wong Kee Song, MD Navtej S. Buttar, MD Extrabiliary applications of fully covered antimigration biliary metal stents VideoGIE |
| title | Extrabiliary applications of fully covered antimigration biliary metal stents |
| title_full | Extrabiliary applications of fully covered antimigration biliary metal stents |
| title_fullStr | Extrabiliary applications of fully covered antimigration biliary metal stents |
| title_full_unstemmed | Extrabiliary applications of fully covered antimigration biliary metal stents |
| title_short | Extrabiliary applications of fully covered antimigration biliary metal stents |
| title_sort | extrabiliary applications of fully covered antimigration biliary metal stents |
| url | http://www.sciencedirect.com/science/article/pii/S2468448120301533 |
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