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Background/Aims: The placement of self expandable metal stent (SEMS) is one of the palliative therapeutic options for patients with unresectable malignant biliary obstruction. The aim of this study was to compare the effectiveness of a covered SEMS versus the conventional plastic stent.

Methods: We retrospectively evaluated 44 patients with unresectable malignant biliary obstruction who were treated with a covered SEMS (21 patients) or a plastic stent (10 Fr, 23 patients). We analyzed the technical success rate, functional success rate, early complications, late complications, stent patency and survival rate.

Results: There was one case in the covered SEMS group that had failed technically, but was corrected successfully using lasso. Functional success rates were 90.5% in the covered SEMS group and 91.3% in the plastic stent group. There was no difference in early complications between the two groups. Median patency of the stent was significantly prolonged in patients who had a covered SEMS (233.6 days) compared with those who had a plastic stent (94.6 days) (p=0.006). During the follow-up period, stent occlusion occurred in 11 patients of the covered SEMS group. Mean survival showed no significant difference between the two groups (covered SEMS group, 236.9 days; plastic stent group, 222.3 days; p=0.182).

Conclusions: The patency of the covered SEMS was longer than that of the plastic stent and the lasso of the covered SEMS was available for repositioning of the stent.

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기사명 저자명 페이지 원문 목차
Submucosal endoscopy, a new era of pure natural orifice translumenal endoscopic surgery(NOTES) Suck-Ho Lee, Won Young Cho, Joo Young Cho pp.4-10

Korean guideline for colonoscopic polypectomy Suck-Ho Lee, Sung Jae Shin, Dong Il Park, Seong-Eun Kim, Hae Jeong Jeon, Se Hyung Kim, Sung Pil Hong, Sung Noh Hong, Dong-Hoon Yang, Bo In Lee … [et al.] pp.11-24

Korean guidelines for colorectal cancer screening and polyp detection Bo-In Lee, Sung Pil Hong, Seong-Eun Kim, Se Hyung Kim, Hyun-Soo Kim, Sung Noh Hong, Dong-Hoon Yang, Sung Jae Shin, Suck-Ho Lee, Dong Il Park … [et al.] pp.25-43

Korean guidelines for postpolypectomy colonoscopy surveillance Dong-Hoon Yang, Sung Noh Hong, Young-Ho Kim, Sung Pil Hong, Sung Jae Shin, Seong-Eun Kim, Bo In Lee, Suck-Ho Lee, Dong Il Park, Hyun-Soo Kim … [et al.] pp.44-61

Performance and cost of disposable biopsy forceps in upper gastrointestinal endoscopy : comparison with reusable biopsy forceps Chul-Hyun Lim, Myung-Gyu Choi, Won Chul Kim, Jin Soo Kim, Yu Kyung Cho, Jae Myung Park, In Seok Lee, Sang Woo Kim, Kyu Yong Choi, In-Sik Chung pp.62-66

Assessment on the potential role of applying cryoprobe for tissue ablation Min Ho Seo, Yoon Tae Jeen, Sang Jung Park, Sun Young Kim, Hye Jin Cho, Hyuk Sun Choi, Hoon Jai Chun, Chang Duck Kim, Ho Sang Ryu, Yang Seok Chae pp.67-72

International live endoscopic multichannel demonstration using superfast broadband internet connections Sang Pyo Lee, Hang Lak Lee, Joon Soo Hahm, Ho Soon Choi, Inwhee Joe, Shuji Shimizu pp.73-77

A comparative study on the efficacy of covered metal stent and plastic stent in unresectable malignant biliary obstruction Jae Myoung Choi, Jin Hong Kim, Soon Sun Kim, Jun Hwan Yu, Jae Chul Hwang, Byung Moo Yoo, Sang Heum Park, Ho Gak Kim, Dong Ki Lee, Kang Hyun Ko … [et al.] pp.78-83

Clipping for the prevention of immediate bleeding after polypectomy of pedunculated polyps : a pilot study Sun-Jin Boo, Jeong-Sik Byeon, Seon Young Park, Jong Sun Rew, Da Mi Lee, Sung Jae Shin, Dong Uk Kim, Geum Am Song pp.84-88

Endoscopic resection for rectal carcinoid tumors : comparision[i.e. comparison] of polypectomy and endoscopic submucosal resection with band ligation Sang Heon Lee, Seun Ja Park, Hyung Hun Kim, Kyung Sun Ok, Ji Hyun Kim, Sam Ryong Jee, Sang Young Seol, Bo Mi Kim pp.89-94

A case of endoscopic treatment for gastrocolocutaneous fistula as a complication of percutaneous endoscopic gastrostomy Jong Ho Hwang, Hyung Wook Kim, Dae Hwan Kang, Choel Woong Choi, Soo Bum Park, Tae Ik Park, Woo Sung Jo, Dong Hyuk Cha pp.95-98

An impacted pancreatic stone in the papilla induced acute obstructive cholangitis in a patient with chronic pancreatitis Kwang-Ho Yoo, Chang-Il Kwon, Sang-Wook Yoon, Won Hee Kim, Jung Min Lee, Kwang Hyun Ko, Sung Pyo Hong, Pil Won Park pp.99-102

A case of colonic mucinous adenocarcinoma in 19-year-old male patient Mi Yeon Chung, Young Sook Park, Sang Ryul Ryu, Sang Bong Ahn, Seong Hwan Kim, Yun Ju Jo, Jun Kil Han, Jong Eun Joo pp.103-107

Rectal Carcinoid Tumors : Pitfalls of Conventional Polypectomy 전승민, 천재희 pp.2-3

Live Endoscopy Demonstration Using Superfast Broadband Internet Connections : The Future of Medical Education and Conferences 한지민 pp.1-1

참고문헌 (34건) : 자료제공( 네이버학술정보 )

참고문헌 목록에 대한 테이블로 번호, 참고문헌, 국회도서관 소장유무로 구성되어 있습니다.
번호 참고문헌 국회도서관 소장유무
1 Efficacy of preoperative biliary tract decompression in patients with obstructive jaundice. 네이버 미소장
2 Randomised trial of endoscopic endoprosthesis versus operative bypass in malignant obstructive jaundice. 네이버 미소장
3 Endoscopic biliary endoprosthesis in the palliation of malignant obstruction of the distal common bile duct: a randomized trial. 네이버 미소장
4 Status evaluation: biliary stents 네이버 미소장
5 Endoscopic placement of expandable metal stents for biliary strictures--a preliminary report on experience with 33 patients. 네이버 미소장
6 Gianturco expandable metallic biliary stents: results of a European clinical trial. 네이버 미소장
7 Randomised trial of self-expanding metal stents versus polyethylene stents for distal malignant biliary obstruction 네이버 미소장
8 A prospective, randomized, controlled trial of metal stents for malignant obstruction of the common bile duct. 네이버 미소장
9 Plastic Endoprostheses versus Metal Stents in the Palliative Treatment of Malignant Hilar Biliary Obstruction. A Prospective and Randomized Trial 네이버 미소장
10 Self-expandable Nitinol Stent for the Management of Biliary Obstruction: Long-term Clinical Results 네이버 미소장
11 Metallic endoprostheses: boon or bust? 네이버 미소장
12 Polyurethane-Covered Nitinol Strecker Stents as Primary Palliative Treatment of Malignant Biliary Obstruction 네이버 미소장
13 Quality of life in patients stented for malignant biliary obstructions. 네이버 미소장
14 Clogging of biliary endoprostheses: a new perspective. 네이버 미소장
15 Experimental study of biliary endoprosthesis efficiency. 네이버 미소장
16 A three year follow up of self expanding metal stents in the endoscopic palliation of longterm survivors with malignant biliary obstruction. 네이버 미소장
17 Wallstents versus plastic stents in malignant biliary obstruction: effects of stent patency of the first and second stent on patient compliance and survival. 네이버 미소장
18 Malignant biliary obstruction: histologic findings after treatment with self-expandable stents. 네이버 미소장
19 Palliation of Malignant Bile Duct Obstruction with Metallic Biliary Endoprostheses: Technique, Results, and Complications 네이버 미소장
20 Physicochemical and bacteriological analysis of the contents of occluded biliary endoprostheses 네이버 미소장
21 Shim CS. [The endoscopic therapy of biliary tract disease]. Korean J Gastrointest Endosc 1989;9:127-129. 미소장
22 Biliary drainage. 네이버 미소장
23 Experiences with the long standing nasobiliary tube in biliary diseases. 네이버 미소장
24 Technical failure of biliary metal stent deployment in a series of 116 applications. 네이버 미소장
25 Haemorrhage due to erosion of a metal biliary stent through the duodenal wall. 네이버 미소장
26 Biliary stent occlusion--a problem solved with self-expanding metal stents? European Wallstent Study Group. 네이버 미소장
27 Initial experience with a new, partially covered Wallstent for malignant biliary obstruction. 네이버 미소장
28 Rossi P, Bezzi M, Salvatori FM, Panzetti C, Rossi M, Pavia G. Clinical experience with covered wallstents for biliary malignancies: 23-month follow-Up. Cardiovasc Intervent Radiol 1997;20:441-447. 미소장
29 Preliminary Results of a New Covered Biliary Metal Stent for Malignant Biliary Obstruction 네이버 미소장
30 Covered Self-Expanding Transhepatic Biliary Stents: Clinical Pilot Study 네이버 미소장
31 A New Covered Biliary Metal Stent versus Uncovered Wallstent for Malignant Biliary Obstruction 소장
32 Cholecystitis After Metallic Stent Placement in Patients With Malignant Distal Biliary Obstruction 네이버 미소장
33 A randomized trial of endoscopic drainage methods for inoperable malignant strictures of the common bile duct 네이버 미소장
34 Removable fully covered self-expandable metal stents in the treatment of common bile duct strictures due to chronic pancreatitis: A case series 네이버 미소장

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