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Fully Covered Self-Expandable Metal Stents for Treatment of Both Benign and Malignant Biliary Disorders

机译:完全覆盖的自膨式金属支架,可治疗良性和恶性胆道疾病

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Transpapillary stents are increasingly being used for biliary strictures, whether benign or malignant. However, there are different stent types and available data is controversial. Recently, completely covered self-expandable metal stents (CSEMSs) have been proposed as an alternative therapeutic option in different biliary indications, including strictures of the distal bile duct, anastomotic stenosis after orthotopic liver transplantation, bile duct leaks, periampullary perforation following endoscopic sphincterotomy (ES), and postsphincterotomy bleeding. Despite the higher costs of these devices, fully covered self-expanding metal stents seem to be a suitable therapeutic option to relief biliary obstruction due to bile duct stenosis, regardless of the underlying cause.
机译:经乳头支架越来越多地用于胆道狭窄,无论是良性还是恶性。但是,支架类型不同,可用数据存在争议。最近,已提出完全覆盖的自膨胀金属支架(CSEMS)作为不同胆道适应症的替代治疗选择,包括远端胆管狭窄,原位肝移植后的吻合口狭窄,胆管渗漏,内窥镜括约肌切开术后壶腹穿孔( ES)和括约肌切开术后出血。尽管这些设备的成本较高,但不管原因是什么,完全覆盖的自膨胀金属支架似乎都是缓解胆管狭窄引起的胆道阻塞的合适治疗选择。

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