Bilateral placement of metal stents for malignant hilar strictures (MHS) can be challenging. Two approaches have been used, each with potential benefits and challenges. <\/p>\n\n\n\n
In a retrospective study of data from 4 centers, the authors compared the outcomes of 64 patients with MHS managed with placement of either bare, braided mesh stents in side-by-side (SBS) positions extending across the papilla (n=24) or bare, large mesh stents in a stent-in-stent (SIS) position above the papilla (n=40). Patients were treated with SIS or SBS placement during separate time frames (SIS, 2010-2012; SBS, 2013-2016). <\/p>\n\n\n\n
Technical success (SBS, 96%; SIS, 100%) and functional success (SBS, 96%; SIS, 93%) rates were essentially equivalent. Early adverse events were proportionally, but not statistically, more common in SBS than SIS placement (46% vs 23%; P<\/em>=.09). Post-ERCP pancreatitis occurred only in the SBS group (29%). Recurrent obstruction rates (SBS, 43%; SIS, 48%) and time to obstruction (SBS, 205 days; SIS, 169 days) were similar between groups, whereas survival rates were equivalent.<\/p>\n","protected":false},"excerpt":{"rendered":" Bilateral placement of metal stents for malignant hilar strictures (MHS) can be challenging. Two approaches have been used, each with potential benefits and challenges. In a retrospective study of data from 4 centers, the authors compared the outcomes of 64 patients with MHS managed with placement of either bare, braided mesh stents in side-by-side (SBS) … Read more<\/a><\/p>\n","protected":false},"template":"","categories":[1768,67],"tags":[2558,2559,2128],"class_list":["post-9687","ec-news","type-ec-news","status-publish","hentry","category-asge-journal-scan","category-bauchspeicheldruese-pankreas","tag-metal-stents-for-malignant-hilar-strictures","tag-mhs","tag-pancreatobiliary"],"_links":{"self":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/ec-news\/9687","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/ec-news"}],"about":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/types\/ec-news"}],"wp:attachment":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/media?parent=9687"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/categories?post=9687"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/tags?post=9687"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}