Ways to improve stenting in unresectable malignant distal biliary obstruction: Stent design, intraductal placement, and protective role of an intact papilla?

Mukai, Tsuyoshi

doi:10.1111/den.13714

Cited by 2 publications

(1 citation statement)

References 10 publications

(13 reference statements)

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“…Since EGBS is an internal fistula method, the tube can be indwelling for a long period of time without impairing a patient’s quality of life; in fact, long-term placement can be useful in preventing cholecystitis recurrence in patients with end-stage liver disease [ 10 , 11 , 12 ] and poor surgical candidates [ 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 ] ( Figure 1 ). Based on research surrounding biliary stent placement for malignant or benign biliary strictures, it is unlikely that the stent will remain patent for years [ 27 , 28 ]. However, it appears that the stent not only facilitates bile drainage but also prevents gallstone impaction, thereby preventing recurrent cholecystitis.…”

Section: Egbs Vs Ptgbd For Long-term Outcomesmentioning

confidence: 99%

Long-Term Outcomes of Endoscopic Gallbladder Drainage for Cholecystitis in Poor Surgical Candidates: An Updated Comprehensive Review

Inoue

Yoshida

Suzuki

et al. 2021

JCM

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Laparoscopic cholecystectomy is the standard and fundamental treatment of choice for acute cholecystitis; however, there are cases in which patients may be poor surgical candidates due to advanced age, comorbidities, and/or general condition. The rate of recurrent cholecystitis is high in patients who are not surgically treated; therefore, the prevention of recurrence in this patient population is an important subject of investigation in the management of cholecystitis. Although it has recently been reported that long-term stent placement by endoscopic gallbladder stenting or endoscopic ultrasound-guided gallbladder drainage may reduce the recurrence rate, its efficacy and safety remain controversial. Additionally, details surrounding the long-term stent management of these treatment methods should be further investigated. In this review, we summarize the updated evidence regarding the usefulness of long-term stent placement with endoscopic gallbladder stenting or endoscopic ultrasound-guided gallbladder drainage as a preventive measure for recurrence of cholecystitis and discuss issues that should be addressed in future studies.

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Section: Egbs Vs Ptgbd For Long-term Outcomesmentioning

confidence: 99%

Long-Term Outcomes of Endoscopic Gallbladder Drainage for Cholecystitis in Poor Surgical Candidates: An Updated Comprehensive Review

Inoue

Yoshida

Suzuki

et al. 2021

JCM

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Comparison of covered self-expandable metallic stents with 12-mm and 10-mm diameters for unresectable malignant distal biliary obstructions: a prospective randomized trial

Mukai,

Iwata,

Iwashita

et al. 2024

Gastrointestinal Endoscopy

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Ways to improve stenting in unresectable malignant distal biliary obstruction: Stent design, intraductal placement, and protective role of an intact papilla?

Abstract: This Editorial refers to the article by Inoue et al., p 949–956 of this issue.

Cited by 2 publications

References 10 publications

Long-Term Outcomes of Endoscopic Gallbladder Drainage for Cholecystitis in Poor Surgical Candidates: An Updated Comprehensive Review

Long-Term Outcomes of Endoscopic Gallbladder Drainage for Cholecystitis in Poor Surgical Candidates: An Updated Comprehensive Review

Comparison of covered self-expandable metallic stents with 12-mm and 10-mm diameters for unresectable malignant distal biliary obstructions: a prospective randomized trial

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