{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,9]],"date-time":"2026-04-09T11:11:45Z","timestamp":1775733105939,"version":"3.50.1"},"reference-count":36,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2011,5,12]],"date-time":"2011-05-12T00:00:00Z","timestamp":1305158400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Gastro and Hepatol"],"published-print":{"date-parts":[[2011,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:bold>Background and Aims:\u2002<\/jats:bold> Limited data exist regarding fully\u2010covered, self\u2010expandable metal stents (CSEMS) with anchoring fins for the management of malignant distal biliary strictures. The aim of this study is to evaluate their safety and patency.<\/jats:p><jats:p><jats:bold>Methods:\u2002<\/jats:bold> Over a period of 2\u2003years, 70 patients (45 males, 66\u2003\u00b1\u200313\u2003years) underwent endoscopic retrograde cholangiopancreatography (ERCP) with placement of a 10\u2010mm (67 patients) or 8\u2010mm diameter (3 patients) CSEMS for the palliation of distal malignant biliary obstruction (pancreatic [53] or other [17]). Data were collected prospectively for survival and stent patency; complications were evaluated retrospectively.<\/jats:p><jats:p><jats:bold>Results:\u2002<\/jats:bold> After CSEMS placement, 17 patients proceeded to surgery, and 53 patients were deemed unresectable. Mean survival for non\u2010surgical candidates was 180\u2003days (range: 15\u20131091), and 170\u2003days (range: 9\u2013589) for patients who underwent surgical management. CSEMS were left in place and remained patent for a mean of 163\u2003days (range: 15\u20131091) in non\u2010surgical candidates, and a mean of 55\u2003days (range: 5\u2013126) in surgical candidates. Complications during placement included wire perforations (4) and proximal deployment requiring repositioning (4), one of which was complicated by a bile leak. Post\u2010procedure complications were observed in 24 cases (34%) and included post\u2010ERCP pancreatitis (8, with 2 of them severe), post\u2010procedure pain (5, with 3 requiring admission), cholecystitis (3), stent occlusion (3), cholangitis (2), proximal migration (1), post\u2010sphincterotomy bleeding (1), and sepsis leading to death (1).<\/jats:p><jats:p><jats:bold>Conclusion:\u2002<\/jats:bold> CSEMS appear to provide acceptable short\u2010term patency rates; however, their limited long\u2010term patency and high complication rate might limit their widespread use. Further long\u2010term prospective data are required to confirm this observation.<\/jats:p>","DOI":"10.1111\/j.1440-1746.2011.06682.x","type":"journal-article","created":{"date-parts":[[2011,2,8]],"date-time":"2011-02-08T09:50:29Z","timestamp":1297158629000},"page":"1022-1027","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["Fully\u2010covered, self\u2010expandable metal stents (CSEMS) in malignant distal biliary strictures: Mid\u2010term evaluation"],"prefix":"10.1111","volume":"26","author":[{"given":"Mihir","family":"Bakhru","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Henry C","family":"Ho","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vishal","family":"Gohil","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew Y","family":"Wang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kristi","family":"Ellen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bryan G","family":"Sauer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vanessa M","family":"Shami","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michel","family":"Kahaleh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2011,5,12]]},"reference":[{"key":"e_1_2_7_2_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1572-0241.2007.01645.x"},{"key":"e_1_2_7_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9343(65)90178-6"},{"key":"e_1_2_7_4_2","doi-asserted-by":"publisher","DOI":"10.1067\/mge.2002.125364"},{"key":"e_1_2_7_5_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-2007-1010294"},{"key":"e_1_2_7_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9270(03)00284-3"},{"key":"e_1_2_7_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/0140-6736(92)92752-2"},{"key":"e_1_2_7_8_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-2007-1005580"},{"key":"e_1_2_7_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2006.07.036"},{"key":"e_1_2_7_10_2","doi-asserted-by":"publisher","DOI":"10.1136\/gut.2003.018945"},{"key":"e_1_2_7_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.cgh.2006.03.032"},{"key":"e_1_2_7_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2005.11.054"},{"key":"e_1_2_7_13_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10620-009-0756-x"},{"key":"e_1_2_7_14_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-010-1231-7"},{"key":"e_1_2_7_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2005.11.057"},{"key":"e_1_2_7_16_2","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.170.2.9456954"},{"key":"e_1_2_7_17_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF00195504"},{"key":"e_1_2_7_18_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-2007-1001280"},{"key":"e_1_2_7_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1542-3565(04)00055-2"},{"key":"e_1_2_7_20_2","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.201.1.8816539"},{"key":"e_1_2_7_21_2","first-page":"654","article-title":"Wallstents versus plastic stents in malignant biliary obstruction: effects of stent patency of the first and second stent on patient compliance and survival","volume":"91","author":"Schmassmann A","year":"1996","journal-title":"Am. 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