Kulikov Yu D, Teterin Yu S, Brysyakina K R, Bembeev B G, Yartsev P A, Novikov S V
Sklifosovsky Research Institute for Emergency Care, Moscow, Russia.
Khirurgiia (Mosk). 2025(5):23-28. doi: 10.17116/hirurgia202505123.
To improve treatment outcomes in patients with mechanical jaundice by using fully covered self-expandable stents with anti-migration mechanism.
The study included 100 patients who underwent endoscopic retrograde biliary duodenal stenting with fully covered self-expandable stent. All patients were divided into 2 groups: group 1 - fully covered self-expandable stent with anti-migration flap, group 2 - fully covered self-expandable stent.
Technical success was achieved in all patients of both groups. In group 1, fully covered self-expandable stent with anti-migration flap significantly reduced the incidence of stent dislocation (<0.05). There were no significant differences in the incidence of complications such as acute pancreatitis, purulent cholangitis, acute cholecystitis and sludge. There were no significant between-group differences in stent function (χ=2.35; =0.1250).
Fully covered self-expandable stent with anti-migration flap reduces the incidence of stent dislocation without increase in the incidence of other complications and effect on duration of functioning.
通过使用具有抗移位机制的全覆膜自膨式支架来改善机械性黄疸患者的治疗效果。
本研究纳入了100例行内镜逆行胆胰管造影术并置入全覆膜自膨式支架的患者。所有患者被分为2组：第1组 - 带有抗移位瓣的全覆膜自膨式支架，第2组 - 全覆膜自膨式支架。
两组所有患者均获得技术成功。在第1组中，带有抗移位瓣的全覆膜自膨式支架显著降低了支架移位的发生率（<0.05）。急性胰腺炎、化脓性胆管炎、急性胆囊炎和胆泥等并发症的发生率无显著差异。两组之间支架功能无显著差异（χ=2.35；P=0.1250）。
带有抗移位瓣的全覆膜自膨式支架可降低支架移位的发生率，且不增加其他并发症的发生率，对支架功能持续时间无影响。
