Proximal Stent Migration of Fully Covered Self-Expandable Metal Stent following Side-by-Side Deployment in the Patient with Klatskin Tumor: A Case Report
Malignant hilar biliary obstruction (MHBO) is a malignant tumor that causes biliary stenosis and bile drainage problems, which can lead to elevated liver enzymes and jaundice. Endoscopic biliary drainage performed to treat MHBO is essential to improve treatment, survival rate, and patients’ quality...
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| Published in | Korean journal of pancreas and biliary tract Vol. 29; no. 3; pp. 95 - 99 |
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| Main Authors | , , , |
| Format | Journal Article |
| Language | English |
| Published |
대한췌장담도학회
31.07.2024
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| Subjects | |
| Online Access | Get full text |
| ISSN | 2288-0941 1976-3573 2288-0941 |
| DOI | 10.15279/kpba.2024.29.3.95 |
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| Abstract | Malignant hilar biliary obstruction (MHBO) is a malignant tumor that causes biliary stenosis and bile drainage problems, which can lead to elevated liver enzymes and jaundice. Endoscopic biliary drainage performed to treat MHBO is essential to improve treatment, survival rate, and patients’ quality of life. However, the biliary drainage in MHBO is technically challenging because of its anatomical complexity, and the successful palliation of cholestasis is less frequent in MHBO than in distal biliary obstruction. In this article, we report a case of proximal stent migration of fully covered self-expandable metal stent following side-by-side deployment in the patient with Klatskin tumor. It is expected that it will be of great help if various preventive methods to reduce stent migration are developed in the future. |
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| AbstractList | Malignant hilar biliary obstruction (MHBO) is a malignant tumor that causes biliary stenosis and bile drainage problems, which can lead to elevated liver enzymes and jaundice. Endoscopic biliary drainage performed to treat MHBO is essential to improve treatment, survival rate, and patients’ quality of life. However, the biliary drainage in MHBO is technically challenging because of its anatomical complexity, and the successful palliation of cholestasis is less frequent in MHBO than in distal biliary obstruction. In this article, we report a case of proximal stent migration of fully covered self-expandable metal stent following side-by-side deployment in the patient with Klatskin tumor. It is expected that it will be of great help if various preventive methods to reduce stent migration are developed in the future. Malignant hilar biliary obstruction (MHBO) is a malignant tumor that causes biliary stenosis and bile drainage problems, which can lead to elevated liver enzymes and jaundice. Endoscopic biliary drainage performed to treat MHBO is essential to improve treatment, survival rate, and patients’ quality of life. However, the biliary drainage in MHBO is technically challenging because of its anatomical complexity, and the successful palliation of cholestasis is less frequent in MHBO than in distal biliary obstruction. In this article, we report a case of proximal stent migration of fully covered self-expandable metal stent following side-by-side deployment in the patient with Klatskin tumor. It is expected that it will be of great help if various preventive methods to reduce stent migration are developed in the future. KCI Citation Count: 0 |
| Author | Shin, Sang Deok Park, Jae Keun Chung, Hwehoon Woo, Ji Young |
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| References | Qumseya (ref2) 2021 Schutz (ref3) 2000 Inoue (ref9) 2016 Yamao (ref15) 2020 Yoshida (ref10) 2016 Siegel (ref1) 2022 Elmunzer (ref8) 2023 Takenaka (ref11) 2022 Yang (ref5) 2018 Dumonceau (ref7) 2018 Moss (ref4) 2007 Paik (ref12) 2024 Yokota (ref14) 2017 Torisu (ref13) 2022 Jang (ref6) 2022 |
| References_xml | – start-page: E102 volume-title: Across-the-papilla side-by-side placement of 6-mm fully covered metallic stents for malignant hilar biliary obstruction: a novel concept that may facilitate reintervention year: 2022 ident: ref11 – start-page: 7 volume-title: Cancer statistics, 2022 year: 2022 ident: ref1 – start-page: e166 volume-title: Potential significance of uncovered self-expandable metal stents for distal malignant biliary obstruction: a propensity score-adjusted competing risk regression analysis year: 2022 ident: ref13 – start-page: 3702 volume-title: Utility and safety of a novel fully covered metal stent in unresectable distal malignant biliary obstruction year: 2020 ident: ref15 – start-page: 535 volume-title: Grading ERCPs by degree of difficulty: a new concept to produce more meaningful outcome data year: 2000 ident: ref3 – start-page: e182 volume-title: Superiority of self-expandable metallic stents over plastic stents in treatment of malignant distal biliary strictures year: 2022 ident: ref6 – start-page: 222 volume-title: ASGE guideline on the role of endoscopy in the management of malignant hilar obstruction year: 2021 ident: ref2 – start-page: 1119 volume-title: Do the benefits of metal stents justify the costs? A systematic review and meta-analysis of trials comparing endoscopic stents for malignant biliary obstruction year: 2007 ident: ref4 – start-page: 910 volume-title: Endoscopic biliary stenting: indications, choice of stents, and results: European Society of Gastrointestinal Endoscopy (ESGE) Clinical Guideline - Updated October 2017 year: 2018 ident: ref7 – start-page: 405 volume-title: ACG clinical guideline: diagnosis and management of biliary strictures year: 2023 ident: ref8 – start-page: 105 volume-title: Partially covered metal stents have longer patency than uncovered and fully covered metal stents in the management of distal malignant biliary obstruction: a retrospective study year: 2017 ident: ref14 – start-page: 751 volume-title: Efficacy and safety of endoscopic radiofrequency ablation for unresectable extrahepatic cholangiocarcinoma: a randomized trial year: 2018 ident: ref5 – start-page: 548 volume-title: Benefits of side-by-side deployment of 6-mm covered self-expandable metal stents for hilar malignant biliary obstructions year: 2016 ident: ref10 – start-page: 352 volume-title: Feasibility of the placement of a novel 6-mm diameter threaded fully covered self-expandable metal stent for malignant hilar biliary obstructions (with videos) year: 2016 ident: ref9 – start-page: 473 volume-title: Side-by-side placement of fully covered metal stents versus conventional 7F plastic stents in malignant hilar biliary obstruction: Prospective randomized controlled trial year: 2024 ident: ref12 |
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| Title | Proximal Stent Migration of Fully Covered Self-Expandable Metal Stent following Side-by-Side Deployment in the Patient with Klatskin Tumor: A Case Report |
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