Yu D Kulikov, Yu S Teterin, K R Brysyakina, B G Bembeev, P A Yartsev, S V Novikov
{"title":"[良性梗阻性黄疸患者的全覆盖自膨胀支架抗移动瓣置入术]。","authors":"Yu D Kulikov, Yu S Teterin, K R Brysyakina, B G Bembeev, P A Yartsev, S V Novikov","doi":"10.17116/hirurgia202505123","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To improve treatment outcomes in patients with mechanical jaundice by using fully covered self-expandable stents with anti-migration mechanism.</p><p><strong>Material and methods: </strong>The study included 100 patients who underwent endoscopic retrograde biliary duodenal stenting with fully covered self-expandable stent. All patients were divided into 2 groups: group 1 - fully covered self-expandable stent with anti-migration flap, group 2 - fully covered self-expandable stent.</p><p><strong>Results: </strong>Technical success was achieved in all patients of both groups. In group 1, fully covered self-expandable stent with anti-migration flap significantly reduced the incidence of stent dislocation (<i>p</i><0.05). There were no significant differences in the incidence of complications such as acute pancreatitis, purulent cholangitis, acute cholecystitis and sludge. There were no significant between-group differences in stent function (χ<sup>2</sup>=2.35; <i>p</i>=0.1250).</p><p><strong>Conclusion: </strong>Fully covered self-expandable stent with anti-migration flap reduces the incidence of stent dislocation without increase in the incidence of other complications and effect on duration of functioning.</p>","PeriodicalId":35986,"journal":{"name":"Khirurgiya","volume":" 5","pages":"23-28"},"PeriodicalIF":0.0000,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"[Bilioduodenal stenting with fully covered self-expandable stent with anti-migration flaps in patients with benign obstructive jaundice].\",\"authors\":\"Yu D Kulikov, Yu S Teterin, K R Brysyakina, B G Bembeev, P A Yartsev, S V Novikov\",\"doi\":\"10.17116/hirurgia202505123\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>To improve treatment outcomes in patients with mechanical jaundice by using fully covered self-expandable stents with anti-migration mechanism.</p><p><strong>Material and methods: </strong>The study included 100 patients who underwent endoscopic retrograde biliary duodenal stenting with fully covered self-expandable stent. All patients were divided into 2 groups: group 1 - fully covered self-expandable stent with anti-migration flap, group 2 - fully covered self-expandable stent.</p><p><strong>Results: </strong>Technical success was achieved in all patients of both groups. In group 1, fully covered self-expandable stent with anti-migration flap significantly reduced the incidence of stent dislocation (<i>p</i><0.05). There were no significant differences in the incidence of complications such as acute pancreatitis, purulent cholangitis, acute cholecystitis and sludge. There were no significant between-group differences in stent function (χ<sup>2</sup>=2.35; <i>p</i>=0.1250).</p><p><strong>Conclusion: </strong>Fully covered self-expandable stent with anti-migration flap reduces the incidence of stent dislocation without increase in the incidence of other complications and effect on duration of functioning.</p>\",\"PeriodicalId\":35986,\"journal\":{\"name\":\"Khirurgiya\",\"volume\":\" 5\",\"pages\":\"23-28\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Khirurgiya\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.17116/hirurgia202505123\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Khirurgiya","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.17116/hirurgia202505123","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
[Bilioduodenal stenting with fully covered self-expandable stent with anti-migration flaps in patients with benign obstructive jaundice].
Objective: To improve treatment outcomes in patients with mechanical jaundice by using fully covered self-expandable stents with anti-migration mechanism.
Material and methods: The study included 100 patients who underwent endoscopic retrograde biliary duodenal stenting with fully covered self-expandable stent. All patients were divided into 2 groups: group 1 - fully covered self-expandable stent with anti-migration flap, group 2 - fully covered self-expandable stent.
Results: Technical success was achieved in all patients of both groups. In group 1, fully covered self-expandable stent with anti-migration flap significantly reduced the incidence of stent dislocation (p<0.05). There were no significant differences in the incidence of complications such as acute pancreatitis, purulent cholangitis, acute cholecystitis and sludge. There were no significant between-group differences in stent function (χ2=2.35; p=0.1250).
Conclusion: Fully covered self-expandable stent with anti-migration flap reduces the incidence of stent dislocation without increase in the incidence of other complications and effect on duration of functioning.