Usefulness of Intraductal Placement of a Dumbbell-Shaped Fully Covered Self-Expandable Metal Stent for Post-Cholecystectomy Bile Leaks
Abstract
:1. Introduction
2. Materials and Methods
2.1. Patients
2.2. Procedures
2.3. Follow-Up
2.4. Outcome Measures and Definitions
2.5. Statistics
3. Results
3.1. Flowchart and Characteristics of the Study Patients
3.2. Outcomes
4. Discussion
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Age | 73.5 (51–87) |
Sex, male | 2 (33) |
ASA-PS | 2.5 (2–4) |
CCI | 6 (2–7) |
Primary disease, AC/GBS | 3 (50)/3 (50) |
Type of surgery, laparoscopic/open | 4 (67)/2 (33) |
Site of leak, cystic duct stump/common bile duct | 5 (83)/1 (17) |
Severity of leak, low-grade/high-grade | 3 (50)/3 (50) |
Timing of intervention, primary/conversion from ENBD | 3 (50)/3 (50) |
Time from surgery to ERCP, days | 10 (3–34) |
Length of D-SEMS, 50 mm/60 mm | 4 (67)/2 (33) |
Diameter of D-SEMS, 10 mm/8 mm | 5 (83)/1 (17) |
Technical success | 6 (100) |
Clinical success | 5 (83) |
Time to the clinical success, days | 5 (3–24) |
Early adverse events (mild pancreatitis) | 1 (17) |
Late adverse events (stent–stone complex) | 1 (17) |
D-SEMS indwelling period, days | 61 (42–606) |
Follow-up period after index ERCP, days | 761 (161–1392) |
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Nakagawa, K.; Matsubara, S.; Suda, K.; Otsuka, T.; Oka, M.; Nagoshi, S. Usefulness of Intraductal Placement of a Dumbbell-Shaped Fully Covered Self-Expandable Metal Stent for Post-Cholecystectomy Bile Leaks. J. Clin. Med. 2023, 12, 6530. https://doi.org/10.3390/jcm12206530
Nakagawa K, Matsubara S, Suda K, Otsuka T, Oka M, Nagoshi S. Usefulness of Intraductal Placement of a Dumbbell-Shaped Fully Covered Self-Expandable Metal Stent for Post-Cholecystectomy Bile Leaks. Journal of Clinical Medicine. 2023; 12(20):6530. https://doi.org/10.3390/jcm12206530
Chicago/Turabian StyleNakagawa, Keito, Saburo Matsubara, Kentaro Suda, Takeshi Otsuka, Masashi Oka, and Sumiko Nagoshi. 2023. "Usefulness of Intraductal Placement of a Dumbbell-Shaped Fully Covered Self-Expandable Metal Stent for Post-Cholecystectomy Bile Leaks" Journal of Clinical Medicine 12, no. 20: 6530. https://doi.org/10.3390/jcm12206530
APA StyleNakagawa, K., Matsubara, S., Suda, K., Otsuka, T., Oka, M., & Nagoshi, S. (2023). Usefulness of Intraductal Placement of a Dumbbell-Shaped Fully Covered Self-Expandable Metal Stent for Post-Cholecystectomy Bile Leaks. Journal of Clinical Medicine, 12(20), 6530. https://doi.org/10.3390/jcm12206530