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Yarze, Joseph C.; Poulos, Anna; Fritz, H; Herlihy, Kevin J.

doi:10.1023/a:1018812416496

Cited by 12 publications

(4 citation statements)

References 14 publications

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“…In subsequent studies, stents were removed or cut to treat complications such as ulcers or stent occlusion due to migration or dislocation. In the case reports, laser treatment (19), forceps (24), suture-cutting devices (26), snares (25, 28), and argon plasma coagulation (20-23) have been used to remove or cut stents.…”

Section: Introductionmentioning

confidence: 99%

Recent Advances of Biliary Stent Management

et al. 2012

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Recent progress in chemotherapy has prolonged the survival of patients with malignant biliary strictures, leading to increased rates of stent occlusion. Even we employed metallic stents which contributed to higher rates and longer durations of patency, and occlusion of covered metallic stents now occurs in about half of all patients during their survival. We investigated the complication and patency rate for the removal of covered metallic stents, and found that the durations were similar for initial stent placement and re-intervention. In order to preserve patient quality of life, we currently recommend the use of covered metallic stents for patients with malignant biliary obstruction because of their removability and longest patency duration, even though uncovered metallic stents have similar patency durations.

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Section: Introductionmentioning

confidence: 99%

Recent Advances of Biliary Stent Management

et al. 2012

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“…As one of the problematic complications of biliary EMS, stent migration occurs in 1.8-8.3% of cases with covered biliary EMS and in 0-2.4% of uncovered EMS [1,2,3]. Migration of biliary EMS may cause severe complications such as ulceration [4], perforation [5] and intestinal obstruction [6], so that appropriate treatments are needed. Several techniques have been reported on endoscopic removal of biliary EMS [7,8,9] and the success rate of removal was 86.4-92.3% [10,11] in cases of covered EMS.…”

Section: Introductionmentioning

confidence: 99%

“…However, it is still difficult in cases of uncovered EMS (0-38.4%) [10,11]. Stent trimming is another approach to treat EMS migration [4]. To date, YAG laser [4,12] and argon plasma [13,14,15] have been applied to transect metallic stents.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Trimming of a Migrated Biliary Nitinol Stent Using Argon Plasma

Matsubayashi¹,

Hasuike²,

Tanaka³

et al. 2009

Case Rep Gastroenterol

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Metallic stent migration is a well-known complication which cannot always be managed by removal or repositioning, especially in case of uncovered stent. We report a patient who developed obstructive jaundice due to migration of an expandable metallic stent (EMS) inserted in the lower bile duct. Trimming of the EMS using argon plasma was performed, with the power setting of 60 W and 2.0 l/min of argon flow. The distal part of the EMS was removed and mechanical cleaning using balloon catheter was performed for remnant EMS. Without additional stent insertion, jaundice was relieved in a few days. No complication was recognized during the procedure and no recurrence of jaundice in the rest of his life.

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Endoscopic transection of distally migrated biliary self-expanding metallic stents by using argon plasma coagulation: a report of 2 cases (with video)

Guda¹,

Freeman²

2006

Gastrointestinal Endoscopy

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Untitled

Cited by 12 publications

References 14 publications

Recent Advances of Biliary Stent Management

Recent Advances of Biliary Stent Management

Trimming of a Migrated Biliary Nitinol Stent Using Argon Plasma

Endoscopic transection of distally migrated biliary self-expanding metallic stents by using argon plasma coagulation: a report of 2 cases (with video)

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