{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,7,27]],"date-time":"2024-07-27T20:00:01Z","timestamp":1722110401198},"reference-count":0,"publisher":"Georg Thieme Verlag KG","issue":"05","license":[{"start":{"date-parts":[[2019,5,3]],"date-time":"2019-05-03T00:00:00Z","timestamp":1556841600000},"content-version":"vor","delay-in-days":2,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Endosc Int Open"],"published-print":{"date-parts":[[2019,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background and study aims\u2002Endoscopic deployment of multiple (\u2265\u200a3) self-expandable metal stents (SEMS) for high-grade unresectable malignant hilar biliary strictures (UMHBS) is technically challenging. Eleven consecutive patients with high-grade UMHBS (mean age: 76 years, male\/female: 5\/6, Bismuth-Corlette classification IIIa\/IV: 7\/4) underwent endoscopic deployment of multiple SEMS using a combination of side-by-side (SBS) and stent-in-stent (SIS) methods. Technical and clinical success rates were 11\/11.\u200aMore than three SEMS were successfully deployed, and obstructive jaundice was fully improved in all cases. Stent occlusion was recognized in four of 11 patients (mean: 134 days, range: 28\u200a\u2013\u200a232). Reinterventions for both liver lobes were feasible by passing the guide wire inside the previously placed stents in three of four patients. Median stent patency was 150 days during a mean follow-up period of 184 days (range: 37\u200a\u2013\u200a558). Three patients developed self-limiting cholangitis without definite stent occlusion as late (&gt;\u200a30 days) adverse events. Employing the combination of SBS and SIS methods may facilitate endoscopic deployment of multiple SEMS to treat high-grade UMHBS.<\/jats:p>","DOI":"10.1055\/a-0849-9334","type":"journal-article","created":{"date-parts":[[2019,5,3]],"date-time":"2019-05-03T22:50:58Z","timestamp":1556923858000},"page":"E672-E677","source":"Crossref","is-referenced-by-count":6,"title":["Endoscopic deployment of multiple (\u2265\u200a3) metal stents for unresectable malignant hilar biliary strictures"],"prefix":"10.1055","volume":"07","author":[{"given":"Tatsuya","family":"Koshitani","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Japan Community Health Care Organization Kobe Central Hospital, Kobe, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shuji","family":"Nakagawa","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Japan Community Health Care Organization Kobe Central Hospital, Kobe, Japan"},{"name":"Nakagawa Naika Clinic, Kobe, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoshitomo","family":"Konaka","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Japan Community Health Care Organization Kobe Central Hospital, Kobe, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Keimei","family":"Nakano","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Japan Community Health Care Organization Kobe Central Hospital, Kobe, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shuichi","family":"Fuki","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Japan Community Health Care Organization Kobe Central Hospital, Kobe, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoshito","family":"Itoh","sequence":"additional","affiliation":[{"name":"Department of Molecular Gastroenterology and Hepatology, Kyoto Prefectural University of Medicine, Graduate School of Medical Science, Kyoto, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2019,5,3]]},"container-title":["Endoscopy International Open"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-0849-9334.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,5,6]],"date-time":"2019-05-06T21:28:29Z","timestamp":1557178109000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-0849-9334"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,5]]},"references-count":0,"journal-issue":{"issue":"05","published-online":{"date-parts":[[2019,5,3]]},"published-print":{"date-parts":[[2019,5]]}},"URL":"https:\/\/doi.org\/10.1055\/a-0849-9334","relation":{},"ISSN":["2364-3722","2196-9736"],"issn-type":[{"value":"2364-3722","type":"print"},{"value":"2196-9736","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,5]]}}}