{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T10:31:41Z","timestamp":1788517901058,"version":"build-2803163510"},"reference-count":24,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2019,2,27]],"date-time":"2019-02-27T00:00:00Z","timestamp":1551225600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Soonchunhyang University Research Fund"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Gastro and Hepatol"],"published-print":{"date-parts":[[2019,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background and Aim<\/jats:title><jats:p>Fully covered self\u2010expandable metal stents (FCSEMS) may be better than plastic stents (PS) for preoperative biliary drainage (PBD) to relieve cholangitis or jaundice for resectable malignant biliary obstruction (MBO). However, modification of current FCSEMS designed originally for nonresectable MBO is needed to be a proper stent for PBD. The aim of this study was to evaluate the possible superiority of non\u2010flared modified FCSEMS (M\u2010FCSEMS) with 12\u2010mm diameter and waist of central portion over PS in patients with resectable MBO.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Eighty\u2010five consecutive patients underwent PBD followed by operation from August 2015 to December 2017. In each M\u2010FCSEMS and PS group, 29 patients were matched for age, sex, body mass index, and preoperative albumin and bilirubin levels.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The overall technical success rates of PBD using M\u2010FCSEMS and PS were 100%. The time to operation was similar between groups (18.6\u00a0\u00b1\u00a010.8 <jats:italic>vs<\/jats:italic> 19.3\u00a0\u00b1\u00a011.6\u00a0days, respectively; <jats:italic>P<\/jats:italic>\u00a0=\u00a00.843). The prevalence of PBD\u2010related adverse events (AEs) was 6.9% (2\/29) in the M\u2010FCSEMS group <jats:italic>versus<\/jats:italic> 27.6% (8\/29) in the PS group (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.037). Re\u2010intervention before operation was required in 20.7% (6\/29) of patients in the PS group but no patients in the M\u2010FCSEMS group (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.023). No differences were found between perioperative AEs in the M\u2010FCSEMS and PS groups (27.5% <jats:italic>vs<\/jats:italic> 31.0%, respectively; <jats:italic>P<\/jats:italic>\u00a0=\u00a00.773).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Modified FCSEMS led to lower PBD\u2010related AEs, re\u2010intervention rate, and comparable perioperative AEs compared with PS. M\u2010FCSEMS may be a potential novel stent for PBD in patients with resectable MBO.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jgh.14600","type":"journal-article","created":{"date-parts":[[2019,1,9]],"date-time":"2019-01-09T02:54:44Z","timestamp":1547002484000},"page":"1590-1596","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Modified non\u2010flared fully covered self\u2010expandable metal stent <i>versus<\/i> plastic stent for preoperative biliary drainage in patients with resectable malignant biliary obstruction"],"prefix":"10.1111","volume":"34","author":[{"given":"Hyun Woo","family":"Lee","sequence":"first","affiliation":[{"name":"Digestive Disease Center and Research Institute Department of Internal Medicine  Bucheon Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jong Ho","family":"Moon","sequence":"additional","affiliation":[{"name":"Digestive Disease Center and Research Institute 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Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sang\u2010Woo","family":"Cha","sequence":"additional","affiliation":[{"name":"Digestive Disease Center and Research Institute Department of Internal Medicine  Bucheon Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Young Deok","family":"Cho","sequence":"additional","affiliation":[{"name":"Digestive Disease Center and Research Institute Department of Internal Medicine  Bucheon Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sang\u2010Heum","family":"Park","sequence":"additional","affiliation":[{"name":"Digestive Disease Center and Research Institute Department of Internal Medicine  Bucheon 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