Plastic or metal stents for benign extrahepatic biliary strictures: a systematic review
<p>Abstract</p> <p>Background</p> <p>Benign biliary strictures may be a consequence of surgical procedures, chronic pancreatitis or iatrogenic injuries to the ampulla. Stents are increasingly being used for this indication, however it is not completely clear which stent...
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| Format: | Article |
| Language: | English |
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BMC
2009-12-01
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| Series: | BMC Gastroenterology |
| Online Access: | http://www.biomedcentral.com/1471-230X/9/96 |
| _version_ | 1818114609820729344 |
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| author | Vleggaar Frank P van Boeckel Petra GA Siersema Peter D |
| author_facet | Vleggaar Frank P van Boeckel Petra GA Siersema Peter D |
| author_sort | Vleggaar Frank P |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Background</p> <p>Benign biliary strictures may be a consequence of surgical procedures, chronic pancreatitis or iatrogenic injuries to the ampulla. Stents are increasingly being used for this indication, however it is not completely clear which stent type should be preferred.</p> <p>Methods</p> <p>A systematic review on stent placement for benign extrahepatic biliary strictures was performed after searching PubMed and EMBASE databases. Data were pooled and evaluated for technical success, clinical success and complications.</p> <p>Results</p> <p>In total, 47 studies (1116 patients) on outcome of stent placement were identified. No randomized controlled trials (RCTs), one non-randomized comparative studies and 46 case series were found. Technical success was 98,9% for uncovered self-expandable metal stents (uSEMS), 94,8% for single plastic stents and 94,0% for multiple plastic stents. Overall clinical success rate was highest for placement of multiple plastic stents (94,3%) followed by uSEMS (79,5%) and single plastic stents (59.6%). Complications occurred more frequently with uSEMS (39.5%) compared with single plastic stents (36.0%) and multiple plastic stents (20,3%).</p> <p>Conclusion</p> <p>Based on clinical success and risk of complications, placement of multiple plastic stents is currently the best choice. The evolving role of cSEMS placement as a more patient friendly and cost effective treatment for benign biliary strictures needs further elucidation. There is a need for RCTs comparing different stent types for this indication.</p> |
| first_indexed | 2024-12-11T03:53:27Z |
| format | Article |
| id | doaj.art-b575fbae413644af9d9c6f9ec7fe5c96 |
| institution | Directory Open Access Journal |
| issn | 1471-230X |
| language | English |
| last_indexed | 2024-12-11T03:53:27Z |
| publishDate | 2009-12-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Gastroenterology |
| spelling | doaj.art-b575fbae413644af9d9c6f9ec7fe5c962022-12-22T01:21:50ZengBMCBMC Gastroenterology1471-230X2009-12-01919610.1186/1471-230X-9-96Plastic or metal stents for benign extrahepatic biliary strictures: a systematic reviewVleggaar Frank Pvan Boeckel Petra GASiersema Peter D<p>Abstract</p> <p>Background</p> <p>Benign biliary strictures may be a consequence of surgical procedures, chronic pancreatitis or iatrogenic injuries to the ampulla. Stents are increasingly being used for this indication, however it is not completely clear which stent type should be preferred.</p> <p>Methods</p> <p>A systematic review on stent placement for benign extrahepatic biliary strictures was performed after searching PubMed and EMBASE databases. Data were pooled and evaluated for technical success, clinical success and complications.</p> <p>Results</p> <p>In total, 47 studies (1116 patients) on outcome of stent placement were identified. No randomized controlled trials (RCTs), one non-randomized comparative studies and 46 case series were found. Technical success was 98,9% for uncovered self-expandable metal stents (uSEMS), 94,8% for single plastic stents and 94,0% for multiple plastic stents. Overall clinical success rate was highest for placement of multiple plastic stents (94,3%) followed by uSEMS (79,5%) and single plastic stents (59.6%). Complications occurred more frequently with uSEMS (39.5%) compared with single plastic stents (36.0%) and multiple plastic stents (20,3%).</p> <p>Conclusion</p> <p>Based on clinical success and risk of complications, placement of multiple plastic stents is currently the best choice. The evolving role of cSEMS placement as a more patient friendly and cost effective treatment for benign biliary strictures needs further elucidation. There is a need for RCTs comparing different stent types for this indication.</p>http://www.biomedcentral.com/1471-230X/9/96 |
| spellingShingle | Vleggaar Frank P van Boeckel Petra GA Siersema Peter D Plastic or metal stents for benign extrahepatic biliary strictures: a systematic review BMC Gastroenterology |
| title | Plastic or metal stents for benign extrahepatic biliary strictures: a systematic review |
| title_full | Plastic or metal stents for benign extrahepatic biliary strictures: a systematic review |
| title_fullStr | Plastic or metal stents for benign extrahepatic biliary strictures: a systematic review |
| title_full_unstemmed | Plastic or metal stents for benign extrahepatic biliary strictures: a systematic review |
| title_short | Plastic or metal stents for benign extrahepatic biliary strictures: a systematic review |
| title_sort | plastic or metal stents for benign extrahepatic biliary strictures a systematic review |
| url | http://www.biomedcentral.com/1471-230X/9/96 |
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