دورية أكاديمية
Preoperative endoscopic biliary drainage by metal versus plastic stents for resectable perihilar cholangiocarcinoma.
| العنوان: | Preoperative endoscopic biliary drainage by metal versus plastic stents for resectable perihilar cholangiocarcinoma. |
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| المؤلفون: | de Jong DM; Department of Gastroenterology and Hepatology, Erasmus MC University Medical Center, Rotterdam, the Netherlands., Gilbert TM; Department of Surgery, Aintree University Hospitals NHS Foundation Trust, Liverpool, United Kingdom., Nooijen LE; Department of Surgery, Amsterdam UMC, Location Vrije Universiteit Amsterdam, Amsterdam, the Netherlands; Cancer Treatment and Quality of Life, Cancer Center Amsterdam, Amsterdam, the Netherlands., Braunwarth E; Department of Visceral, Transplant, and Thoracic Surgery, Center of Operative Medicine, Innsbruck Medical University, Innsbruck, Austria., Ninkovic M; Department of Visceral, Transplant, and Thoracic Surgery, Center of Operative Medicine, Innsbruck Medical University, Innsbruck, Austria., Primavesi F; Department of Visceral, Transplant, and Thoracic Surgery, Center of Operative Medicine, Innsbruck Medical University, Innsbruck, Austria; Department of General, Visceral, and Vascular Surgery, Salzkammergutklinikum, Vöcklabruck, Austria., Malik HZ; Department of Surgery, Aintree University Hospitals NHS Foundation Trust, Liverpool, United Kingdom., Stern N; Digestive Diseases Unit, Aintree University Hospitals, NHS Foundation Trust, Liverpool, United Kingdom., Sturgess R; Digestive Diseases Unit, Aintree University Hospitals, NHS Foundation Trust, Liverpool, United Kingdom., Erdmann JI; Department of Surgery, Amsterdam UMC, Location Vrije Universiteit Amsterdam, Amsterdam, the Netherlands; Cancer Treatment and Quality of Life, Cancer Center Amsterdam, Amsterdam, the Netherlands., Voermans RP; Cancer Treatment and Quality of Life, Cancer Center Amsterdam, Amsterdam, the Netherlands; Department of Gastroenterology and Hepatology, Amsterdam UMC, Amsterdam Gastroenterology Endocrinology Metabolism, Medical University, University of Amsterdam, Amsterdam, the Netherlands; Department of Gastroenterology and Hepatology, Amsterdam UMC, Cancer Center Amsterdam, Medical University, University of Amsterdam, Amsterdam, the Netherlands., Bruno MJ; Department of Gastroenterology and Hepatology, Erasmus MC University Medical Center, Rotterdam, the Netherlands., Koerkamp BG; Department of Surgery, Erasmus MC Cancer Institute, Rotterdam, the Netherlands., van Driel LMJW; Department of Gastroenterology and Hepatology, Erasmus MC University Medical Center, Rotterdam, the Netherlands. |
| المصدر: | Gastrointestinal endoscopy [Gastrointest Endosc] 2024 Apr; Vol. 99 (4), pp. 566-576.e8. Date of Electronic Publication: 2023 Oct 20. |
| نوع المنشور: | Multicenter Study; Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Mosby Yearbook Country of Publication: United States NLM ID: 0010505 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1097-6779 (Electronic) Linking ISSN: 00165107 NLM ISO Abbreviation: Gastrointest Endosc Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: St Louis, Mo : Mosby Yearbook Original Publication: Denver. |
| مواضيع طبية MeSH: | Klatskin Tumor*/surgery , Klatskin Tumor*/etiology , Self Expandable Metallic Stents*/adverse effects , Cholangiocarcinoma*/surgery , Cholangitis*/etiology , Bile Duct Neoplasms*/surgery , Cholestasis*/etiology, Humans ; Retrospective Studies ; Stents/adverse effects ; Cholangiopancreatography, Endoscopic Retrograde ; Drainage/methods ; Bile Ducts, Intrahepatic ; Treatment Outcome |
| مستخلص: | Background and Aims: Adequate preoperative biliary drainage (PBD) is recommended in most patients with resectable perihilar cholangiocarcinoma (pCCA). Most expert centers use endoscopic plastic stents rather than self-expandable metal stents (SEMSs). In the palliative setting, however, use of SEMSs has shown longer patency and superior survival. The aim of this retrospective study was to compare stent dysfunction of SEMSs versus plastic stents for PBD in resectable pCCA patients. Methods: In this multicenter international retrospective cohort study, patients with potentially resectable pCCAs who underwent initial endoscopic PBD from 2010 to 2020 were included. Stent failure was a composite end point of cholangitis or reintervention due to adverse events or insufficient PBD. Other adverse events, surgical outcomes, and survival were recorded. Propensity score matching (PSM) was performed on several baseline characteristics. Results: A total of 474 patients had successful stent placement, of whom 61 received SEMSs and 413 plastic stents. PSM (1:1) resulted in 2 groups of 59 patients each. Stent failure occurred significantly less in the SEMSs group (31% vs 64%; P < .001). Besides less cholangitis after SEMSs placement (15% vs 31%; P = .012), other PBD-related adverse events did not differ. The number of patients undergoing surgical resection was not significantly different (46% vs 49%; P = .71). Complete intraoperative SEMSs removal was successful and without adverse events in all patients. Conclusions: Stent failure was lower in patients with SEMSs as PBD compared with plastic stents in patients with resectable pCCA. Removal during surgery was quite feasible. Surgical outcomes were similar. Competing Interests: Disclosure The following authors disclosed financial relationships: R. P. Voermans is a consultant for and received a grant for investigator-initiated studies from Boston Scientific, and receives research support for investigator-initiated studies from Zambon Medical and Prion Medical. M. J. Bruno serves as a consultant for and receives support for industry- and investigator-initiated studies from Boston Scientific and Cook Medical, and receives support for investigator-initiated studies from Pentax Medical, 3M, Interscope, and Mylan. All of the other authors disclosed no financial relationships. (Copyright © 2024 American Society for Gastrointestinal Endoscopy. Published by Elsevier Inc. All rights reserved.) |
| تواريخ الأحداث: | Date Created: 20231022 Date Completed: 20240322 Latest Revision: 20240528 |
| رمز التحديث: | 20240528 |
| DOI: | 10.1016/j.gie.2023.10.041 |
| PMID: | 37866710 |
| قاعدة البيانات: | MEDLINE |
Full Text via ClinicalKey 
Full Text Finder | تدمد: | 1097-6779 |
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| DOI: | 10.1016/j.gie.2023.10.041 |