一种由10F双猪尾塑料支架固定的全覆膜自膨式金属支架：一种有效的抗移位技术。
A fully covered self-expandable metal stent anchored by a 10-Fr double pigtail plastic stent: an effective anti-migration technique.
作者信息
Katsinelos Panagiotis, Lazaraki Georgia, Gkagkalis Stergios, Chatzimavroudis Grigoris, Anastasiadou Kiriaki, Georgakis Nikos, Giouleme Olga, Zavos Christos, Kountouras Jannis
机构信息
Department of Endoscopy and Motility Unit, G. Gennimatas General Hospital, Medical School, Aristotle University of Thessaloniki (Panagiotis Katsinelos, Georgia Lazaraki, Stergios Gkagkalis, Grigoris Chatzimavroudis, Olga Giouleme).
Second Department of Internal Medicine, Ippokration Hospital, Medical School, Aristotle University of Thessaloniki (Kiriaki Anastasiadou, Nikos Georgakis, Christos Zavos, Jannis Kountouras), Thessaloniki, Greece.
出版信息
Ann Gastroenterol. 2017;30(1):114-117. doi: 10.20524/aog.2016.0089. Epub 2016 Sep 22.
BACKGROUND
Fully covered self-expandable metal stents (FCSEMS) have been used successfully in the treatment of malignant and benign biliary strictures. However, stent migration is a major complication. We investigated the efficacy of anchoring FCSEMS with a 10-Fr double-pigtail plastic stent to prevent migration in patients with biliary strictures.
METHODS
Between January 2012 and May 2013, 10 patients with malignant biliary strictures and one patient with a suprapapillary benign biliary stenosis were enrolled in the study. The primary endpoint of the study was to record the migration rate of FCSEMS.
RESULTS
The placement of FCSEMSs and the anchoring with a 10-Fr double-pigtail plastic stent were successful in all patients. During a median follow-up period of eight months, proximal or distal migration of FCSEMS was not observed. No procedural complications related to the placement of FCSEMS and/or the anchoring plastic stent were recorded.
CONCLUSIONS
The placement of an anchoring 10-Fr double-pigtail stent is a simple and effective anti-migration technique for FCSEMS in patients with malignant biliary strictures.
背景
全覆膜自膨式金属支架（FCSEMS）已成功用于治疗恶性和良性胆管狭窄。然而，支架移位是一种主要并发症。我们研究了用10Fr双猪尾塑料支架固定FCSEMS以防止胆管狭窄患者支架移位的疗效。
方法
2012年1月至2013年5月，10例恶性胆管狭窄患者和1例乳头上方良性胆管狭窄患者纳入本研究。本研究的主要终点是记录FCSEMS的移位率。
结果
所有患者FCSEMS的放置及用10Fr双猪尾塑料支架固定均成功。在中位随访期8个月期间，未观察到FCSEMS近端或远端移位。未记录到与FCSEMS放置和/或固定塑料支架相关的操作并发症。
结论
对于恶性胆管狭窄患者，放置固定用10Fr双猪尾支架是一种简单有效的FCSEMS抗移位技术。
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