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Extrabiliary applications of fully covered antimigration biliary metal stents
- Source :
- VideoGIE
- Publication Year :
- 2020
- Publisher :
- Elsevier BV, 2020.
-
Abstract
- 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.
- Subjects :
- FCAMS, fully covered antimigration biliary metal stent
medicine.medical_specialty
business.industry
medicine.medical_treatment
Video Case Series
Gastroenterology
Stent
equipment and supplies
03 medical and health sciences
surgical procedures, operative
0302 clinical medicine
030220 oncology & carcinogenesis
Percutaneous endoscopic gastrostomy
LAMS, lumen-apposing metal stent
PEG, percutaneous endoscopic gastrostomy
medicine
030211 gastroenterology & hepatology
Radiology, Nuclear Medicine and imaging
cardiovascular diseases
Radiology
business
Diet modifications
Endoscopic stent
PEG - Percutaneous endoscopic gastrostomy
Destination therapy
Subjects
Details
- ISSN :
- 24684481
- Volume :
- 5
- Database :
- OpenAIRE
- Journal :
- VideoGIE
- Accession number :
- edsair.doi.dedup.....33fee49669e1eaa69290c57e66ced166