Fully covered, self-expandable metal stents for first-step endoscopic treatment of biliary leaks secondary to hepato-biliary surgery: A retrospective study

Benedetto Mangiavillano, Carmelo Luigiano, Ilaria Tarantino, Luca Barresi, Marco Dinelli, Roberto Frego, Marco Bassi, Carlo Fabbri, Vincenzo Cennamo, Paolo Viaggi, Mario Traina, Tara Santoro, Enzo Masci

Research output: Contribution to journalArticle

Abstract

Background: Fully covered self-expanding metal stents are now being used to treat benign biliary diseases. Aims: To assess the outcomes of these stents as first-step therapy in patients with biliary leaks secondary to hepato-biliary surgery. Methods: Thirty patients (56.7% males; mean age: 60.2. ±. 13 years) were retrospectively evaluated. The data collected included technical and clinical success, adverse events and follow-up findings (1, 3 and 6 months). Results: Technical and clinical success rates were 100%. One early mild post-procedure pancreatitis occurred and resolved spontaneously. Three late stent distal migrations occurred, however cholangiography showed correct leak sealing in all patients. Stents were removed after a mean of 55.9 days. During follow-up no other complications occurred. Conclusion: In our experience fully covered self-expanding metal stent placement was safe and efficacious as first-step therapy for post-operative biliary leaks. However, prospective comparative studies with plastic stents are required to validate these findings.

Original languageEnglish
Pages (from-to)430-432
Number of pages3
JournalDigestive and Liver Disease
Volume45
Issue number5
DOIs
Publication statusPublished - May 2013

Keywords

  • Benign biliary diseases
  • Biliary leak
  • Biliary tract injuries
  • Fully covered metal stent

ASJC Scopus subject areas

  • Gastroenterology
  • Hepatology

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