Bakhru Mihir R, Kahaleh Michel
Division of Gastroenterology and Hepatology, University of Virginia, PO Box 800708, Charlottesville, VA 22908, USA.
Gastrointest Endosc Clin N Am. 2011 Jul;21(3):447-62, viii. doi: 10.1016/j.giec.2011.04.007.
Benign biliary diseases include benign biliary strictures (BBS), choledocholithiasis, and leaks. BBS encompass postoperative injury, anastomotic stricture, chronic pancreatitis, primary sclerosing cholangitis, and gallstone-related stricture. Therapeutic options for benign biliary diseases include surgical, percutaneous, and endoscopic interventions. Endoscopic options include placement of plastic stents as well as self-expanding metal stents (SEMS). SEMS can be uncovered, partially covered, and fully covered, and have been used with some success in resolution of strictures and leaks; however, complications limit their use. This article reviews the currently published experience on SEMS and attempts to define their current role in the treatment of benign biliary diseases.
良性胆道疾病包括良性胆管狭窄（BBS）、胆总管结石和胆漏。BBS包括术后损伤、吻合口狭窄、慢性胰腺炎、原发性硬化性胆管炎和胆结石相关狭窄。良性胆道疾病的治疗选择包括手术、经皮和内镜干预。内镜治疗方法包括放置塑料支架以及自膨式金属支架（SEMS）。SEMS可分为裸支架、部分覆盖支架和全覆盖支架，在解决狭窄和胆漏方面已取得一定成功；然而，并发症限制了它们的应用。本文综述了目前已发表的关于SEMS的经验，并试图明确它们在良性胆道疾病治疗中的当前作用。
