Elevated Risk for Cholecystitis with Fully Covered vs. Uncovered Metal Biliary Stents

Data confirm previously observed excess risks for cholecystitis and stent migration with covered self-expanding metal stents.

It is well known that the placement of a covered self-expanding metal stent (CSEMS) in the bile duct of a patient with an intact gallbladder might increase the risk for cholecystitis, likely due to occlusion of the cystic duct. Still, CSEMSs are among the most widely used devices in biliary endoscopy given their removability and utility in treating benign and malignant strictures as well as biliary leaks and fistulas.

In a recent study, investigators retrospectively evaluated the efficacy and safety of CSEMSs compared with uncovered self-expanding metal stents (USEMSs) in 645 patients undergoing stent placement for a malignant biliary stricture. Rates of clinical success for treating bile duct obstruction were similar with CSEMSs and USEMSs …

Reviewing Author

Douglas G. Adler, MD, FACG, AGAF, FASGE

Disclosures

Consultant/Advisory BoardBSC; Merit; Olympus

Speaker’s BureauAbbVie

Editorial BoardsGastrointestinal Endoscopy

Douglas G. Adler, MD, FACG, AGAF, FASGE

Disclosures

Consultant/Advisory BoardBSC; Merit; Olympus

Speaker’s BureauAbbVie

Editorial BoardsGastrointestinal Endoscopy

Elevated Risk for Cholecystitis with Fully Covered vs. Uncovered Metal Biliary Stents

Topics

Reviewing Author