Gastrointestinal Endoscopy, Azienda Ospedaliera San Paolo, Universitary Hospital, University of Milan, Milan, Italy.
J Dig Dis. 2012 Sep;13(9):486-90. doi: 10.1111/j.1751-2980.2012.00615.x.
The aim of the study was to verify the use of covered removable self-expandable metal stents (CRSEMS) in benign biliary disease after a failure of traditional endoscopic treatment.
A total of 23 patients who failed traditional endoscopic therapy were enrolled in the study and treated with CRSEMS.
Among all the patients, 11 had a bile leak and 12 suffered benign biliary stenosis. Technical success and immediate clinical success were achieved in all the patients. The overall long-term clinical success rate after stent removal was 100%. The CRSEMS were left in place for a median of 47 days (range 30-240 days). Immediate complications occurred in one patient, stent migration in two and overgrowth of inflammatory tissue in the stent in two.
CRSEMS is an excellent treatment option for patients with benign biliary disease.
本研究旨在验证在传统内镜治疗失败后，使用覆膜可回收自膨式金属支架（CRSEMS）治疗良性胆道疾病的效果。
共纳入 23 例传统内镜治疗失败的患者，并对其使用 CRSEMS 进行治疗。
所有患者中，11 例发生胆漏，12 例发生良性胆道狭窄。所有患者均获得技术成功和即刻临床成功。支架取出后，总体长期临床成功率为 100%。CRSEMS 中位留置时间为 47 天（范围 30-240 天）。1 例患者发生即刻并发症，2 例患者发生支架移位，2 例患者发生支架内炎症组织过度生长。
CRSEMS 是治疗良性胆道疾病患者的一种极好的治疗选择。
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