Nam Hyeong Seok, Kang Dae Hwan
Department of Internal Medicine, Pusan National University School of Medicine and Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Yangsan, Korea.
Clin Endosc. 2016 Mar;49(2):124-30. doi: 10.5946/ce.2016.023. Epub 2016 Feb 25.
Many advances have been achieved in biliary stenting over the past 30 years. Endoscopic stent placement has become the primary management therapy to relieve obstruction in patients with benign or malignant biliary tract diseases. Compared with plastic stents, a self-expandable metallic stent (SEMS) has been used for management in patients with malignant strictures because of a larger lumen and longer stent patency. Recently, SEMS has been used for various benign biliary strictures and leaks. In this article, we briefly review the characteristics of SEMS as well as complications of stent placement. We review the current guidelines for managing malignant and benign biliary obstructions. Recent developments in biliary stenting are also discussed.
在过去30年里，胆道支架置入术取得了许多进展。内镜下支架置入已成为缓解良性或恶性胆道疾病患者梗阻的主要治疗方法。与塑料支架相比，自膨式金属支架（SEMS）因其更大的管腔和更长的支架通畅时间，已被用于恶性狭窄患者的治疗。最近，SEMS已被用于各种良性胆道狭窄和胆漏。在本文中，我们简要回顾了SEMS的特点以及支架置入的并发症。我们还回顾了目前处理恶性和良性胆道梗阻的指南。本文也讨论了胆道支架置入术的最新进展。
