{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T07:56:11Z","timestamp":1791618971771,"version":"4.3.4"},"reference-count":33,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2020,8,16]],"date-time":"2020-08-16T00:00:00Z","timestamp":1597536000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100008497","name":"Boston Scientific Corporation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100008497","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Hepato Biliary Pancreat"],"published-print":{"date-parts":[[2020,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background\/Purpose<\/jats:title><jats:p>Although routine preoperative biliary drainage (PBD) in patients with distal malignant biliary obstruction is generally not recommended, there are still various situations where it may be necessary. The current study aims to compare the uncovered self\u2010expandable metal stent (uSEMS) and plastic stent (PS), where PBD may be necessary.<\/jats:p><\/jats:sec><jats:sec><jats:title>Patients and Methods<\/jats:title><jats:p>In this multicenter prospective randomized study, patients with resectable periampullary cancer with cholangitis, deep jaundice, or expected long waiting time for surgery were included. PBD was performed endoscopically, but percutaneous drainage was allowed if the initial endoscopic drainage was not feasible. The primary outcome was the reintervention rate; the secondary outcomes were the complication rates, rate of decrease of total bilirubin, waiting time for surgery, and postoperative hospital stay.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of the 60 enrolled patients, 53 were included for analysis (26 PS and 27 uSEMS). Common bile duct cancer was the most common (27, 50.9%), followed by pancreatic head cancer (20, 37.7%). Regarding PBD indication, 36 (67.9%) had cholangitis and 21 (39.6%) had a total bilirubin level of more than 10\u00a0mg\/dL at randomization; 10 (18.9%) were included due to delayed surgery by more than 7\u00a0days. Fifty (94.3%) patients received pancreaticoduodenectomy, and one (1.9%) patient received palliative hepaticojejunostomy. The median waiting time for surgery was 11.0\u00a0days. There was no difference in the reintervention rate (3.8% and 3.8% in PS and uSEMS, <jats:italic>P<\/jats:italic>\u00a0&gt;\u00a0.999), PBD\u2010related complication rate (23.1% and 22.2%, <jats:italic>P<\/jats:italic>\u00a0&gt;\u00a0.999), PBD\u2010 or surgery\u2010related complication rate (57.7% and 48.1%, <jats:italic>P<\/jats:italic>\u00a0=\u00a0.674), and the rate of decrease of total bilirubin (<jats:italic>P<\/jats:italic>\u00a0=\u00a0.541). The median hospital stay after surgery was 13.0\u00a0days without significant difference.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>For patients who received surgery within the first 2\u00a0weeks from receiving PBD, there was no superiority of uSEMS to PS. According to the expected waiting time for surgery, selective approach for stent choice should be considered.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jhbp.811","type":"journal-article","created":{"date-parts":[[2020,7,26]],"date-time":"2020-07-26T18:25:25Z","timestamp":1595787925000},"page":"690-699","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["A multicenter prospective randomized controlled trial for preoperative biliary drainage with uncovered metal versus plastic stents for resectable periampullary cancer"],"prefix":"10.1002","volume":"27","author":[{"given":"Jae Hee","family":"Cho","sequence":"first","affiliation":[{"name":"Department of Internal Medicine Gangnam Severance Hospital Yonsei University College of Medicine Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoo\u2010Seok","family":"Yoon","sequence":"additional","affiliation":[{"name":"Department of Surgery Seoul National University Bundang Hosptial Seoul National University College of Medicine Seongnam Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eui Joo","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Gil Medical Center Gachon University College of Medicine Incheon Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yeon Suk","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Gil Medical Center Gachon University College of Medicine Incheon Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jai Young","family":"Cho","sequence":"additional","affiliation":[{"name":"Department of Surgery Seoul National University Bundang Hosptial Seoul National University College of Medicine Seongnam Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ho\u2010Seong","family":"Han","sequence":"additional","affiliation":[{"name":"Department of Surgery Seoul National University Bundang Hosptial Seoul National University College of Medicine Seongnam Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yeon Ho","family":"Park","sequence":"additional","affiliation":[{"name":"Department of Surgery Gil Medical Center Gachon University College of Medicine Incheon Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dong Woo","family":"Shin","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Keimyung University Dongsan Medical Center Daegu Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jong\u2010chan","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Seoul National University Bundang Hosptial Seoul National University College of Medicine Seongnam Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jin\u2010Hyeok","family":"Hwang","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Seoul National University Bundang Hosptial Seoul National University College of Medicine Seongnam Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0693-1415","authenticated-orcid":false,"given":"Jaihwan","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Seoul National University Bundang Hosptial Seoul National University College of Medicine Seongnam Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,8,16]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1055\/a-0659-9864"},{"issue":"9","key":"e_1_2_6_3_1","first-page":"CD005444","article-title":"Pre\u2010operative biliary drainage for obstructive jaundice","author":"Fang Y","year":"2012","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMe0908773"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-010-1552-6"},{"issue":"1","key":"e_1_2_6_6_1","first-page":"CD004200","article-title":"Palliative biliary stents for obstructing pancreatic carcinoma","author":"Moss AC","year":"2006","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_6_7_1","first-page":"309","article-title":"Self\u2010expanding metal stents (sems) provide superior outcomes compared to plastic stents for pancreatic cancer patients undergoing neoadjuvant therapy","volume":"3","author":"Adams MA","year":"2012","journal-title":"J Gastrointest Oncol"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/gutjnl-2014-308762"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa0903230"},{"key":"e_1_2_6_10_1","first-page":"E798\u2013808","article-title":"Preoperative biliary drainage by plastic or self\u2010expandable metal stents in patients with periampullary tumors: results of a randomized clinical study","volume":"5","author":"Olsson G","year":"2017","journal-title":"Endosc Int Open"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1038\/ajg.2013.93"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1572-0241.2005.42031.x"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00534-012-0561-3"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2016.06.051"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.sla.0000133083.54934.ae"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/MCG.0b013e3181d2ef06"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gassur.2005.08.006"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10620-011-1815-7"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2012.02.041"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-2007-966263"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-010-1231-7"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2005.11.057"},{"key":"e_1_2_6_23_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11605-008-0618-4"},{"key":"e_1_2_6_24_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-200207000-00005"},{"key":"e_1_2_6_25_1","first-page":"1343","article-title":"Preoperative drainage in pancreatic cancer","volume":"362","author":"Wang CC","year":"2010","journal-title":"N Engl J Med"},{"key":"e_1_2_6_26_1","doi-asserted-by":"publisher","DOI":"10.6004\/jnccn.2019.0014"},{"key":"e_1_2_6_27_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12957-020-01848-1"},{"key":"e_1_2_6_28_1","doi-asserted-by":"publisher","DOI":"10.1002\/jhbp.693"},{"key":"e_1_2_6_29_1","doi-asserted-by":"publisher","DOI":"10.1002\/jhbp.631"},{"key":"e_1_2_6_30_1","doi-asserted-by":"publisher","DOI":"10.4103\/sjg.SJG_448_17"},{"key":"e_1_2_6_31_1","doi-asserted-by":"publisher","DOI":"10.1245\/s10434-014-3810-7"},{"key":"e_1_2_6_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2018.03.029"},{"key":"e_1_2_6_33_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2019.06.032"},{"key":"e_1_2_6_34_1","doi-asserted-by":"publisher","DOI":"10.5009\/gnl19302"}],"container-title":["Journal of Hepato-Biliary-Pancreatic Sciences"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fjhbp.811","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jhbp.811","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/jhbp.811","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jhbp.811","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,4]],"date-time":"2023-09-04T04:05:30Z","timestamp":1693800330000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/jhbp.811"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,8,16]]},"references-count":33,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2020,10]]}},"alternative-id":["10.1002\/jhbp.811"],"URL":"https:\/\/doi.org\/10.1002\/jhbp.811","archive":["Portico"],"relation":{},"ISSN":["1868-6974","1868-6982"],"issn-type":[{"value":"1868-6974","type":"print"},{"value":"1868-6982","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,8,16]]},"assertion":[{"value":"2020-05-24","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-07-19","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-08-16","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}