Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Search research articles

Related Experiment Videos

Metal stents for malignant biliary obstruction

J S Laméris¹, J Stoker

¹Department of Radiology, University Hospital Rotterdam/Dijkzigt, The Netherlands.

Digestive Diseases (Basel, Switzerland)

|May 1, 1994

Summary

Large-bore metal stents improve palliative treatment for malignant biliary obstruction by reducing recurrent jaundice and cholangitis. Despite higher initial costs, their long-term patency and reduced reinterventions offer economic benefits.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by

Same author

Intestinal Ultrasound and Its Advanced Modalities in Characterizing Strictures in Crohn's Disease.

Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association·2025

Same author

Correction: Recurrent disease detection after resection of pancreatic ductal adenocarcinoma using a recurrence-focused surveillance strategy (RADAR-PANC): protocol of an international randomized controlled trial according to the Trials within Cohorts design.

Trials·2024

Same author

Recurrent disease detection after resection of pancreatic ductal adenocarcinoma using a recurrence-focused surveillance strategy (RADAR-PANC): protocol of an international randomized controlled trial according to the Trials within Cohorts design.

Trials·2024

Same author

Mesenchymal stem cell therapy for therapy refractory complex Crohn's perianal fistulas: a case series.

Stem cell research & therapy·2024

Same author

[<sup>18</sup>F]FDG-PET/CT-based risk stratification in women with locally advanced uterine cervical cancer.

BMC cancer·2024

Same author

Precision assessment of bowel motion quantification using 3D cine-MRI for radiotherapy.

Physics in medicine and biology·2024

Area of Science:

Gastroenterology and Hepatology
Interventional Radiology

Background:

Malignant biliary obstruction often causes recurrent jaundice and cholangitis due to stent clogging.
Conventional stents have limitations in long-term patency and require frequent reinterventions.

Purpose of the Study:

To evaluate the efficacy and long-term outcomes of large-bore metal stents in managing malignant biliary obstruction.
To compare metal stents with conventional stents in terms of patency, complications, and cost-effectiveness.

Main Methods:

Placement of large-bore metal stents via endoscopic or percutaneous approaches.
Assessment of stent patency, rates of jaundice recurrence, cholangitis, and need for reintervention.
Analysis of initial costs versus long-term economic benefits.

Main Results:

Large-bore metal stents facilitate percutaneous drainage procedures.
Metal stents demonstrate improved long-term patency rates compared to conventional stents.
Reduced need for readmissions and reinterventions favors metal stents economically in the long run.

Conclusions:

Large-bore metal stents are effective in managing malignant biliary obstruction, offering better long-term patency.
The primary barrier to widespread adoption of metal stents is their high initial cost.
Long-term economic advantages, driven by fewer reinterventions, support the use of metal stents.

Related Experiment Videos