Gastrointestinal Endoscopy, Azienda Ospedaliera San Paolo - Universitary Hospital, University of Milan, Milan, Italy.
Dig Liver Dis. 2013 May;45(5):430-2. doi: 10.1016/j.dld.2012.11.013. Epub 2012 Dec 30.
Fully covered self-expanding metal stents are now being used to treat benign biliary diseases.
To assess the outcomes of these stents as first-step therapy in patients with biliary leaks secondary to hepato-biliary surgery.
Thirty patients (56.7% males; mean age: 60.2 ± 13 years) were retrospectively evaluated. The data collected included technical and clinical success, adverse events and follow-up findings (1, 3 and 6 months).
Technical and clinical success rates were 100%. One early mild post-procedure pancreatitis occurred and resolved spontaneously. Three late stent distal migrations occurred, however cholangiography showed correct leak sealing in all patients. Stents were removed after a mean of 55.9 days. During follow-up no other complications occurred.
In our experience fully covered self-expanding metal stent placement was safe and efficacious as first-step therapy for post-operative biliary leaks. However, prospective comparative studies with plastic stents are required to validate these findings.
全覆膜自膨式金属支架目前已用于治疗良性胆道疾病。
评估这些支架作为肝-胆手术后胆道漏的一线治疗的效果。
回顾性评估了 30 名患者（56.7%为男性；平均年龄：60.2±13 岁）。收集的数据包括技术和临床成功率、不良事件和随访结果（1、3 和 6 个月）。
技术和临床成功率均为 100%。1 例患者术后早期出现轻度胰腺炎，自发性缓解。3 例晚期支架远端迁移，但胆管造影显示所有患者均正确封堵漏口。支架在平均 55.9 天后取出。随访期间未发生其他并发症。
根据我们的经验，全覆膜自膨式金属支架置入术作为术后胆道漏的一线治疗是安全有效的。然而，需要进行前瞻性比较研究以验证这些发现。
