Category |
Gastroenterology & Hepatology |
Manuscript Type |
Autobiography |
Article Title |
Randomized trial in malignant biliary obstruction: Plastic vs partially covered metal stents
|
Manuscript Source |
Invited Manuscript |
All Author List |
Peter L Moses, Khalid M AlNaamani, Alan N Barkun, Stuart R Gordon, Roger D Mitty, M Stanley Branch, Thomas E Kowalski, Myriam Martel and Viviane Adam |
Funding Agency and Grant Number |
Funding Agency |
Grant Number |
Research Funding from Boston Scientific Inc |
to Barkun AN |
Research Funding from Cook Endoscopy |
to Branch MS |
Research Funding from Pentax Corp |
to Kowalski TE |
|
Corresponding Author |
Alan N Barkun, MD, CM, FRCP(C), FACP, FAGA, FACG, MSc, Chairholder, Professor, Division of Gastroenterology, McGill University Health Center, McGill University, Montreal General Hospital site, 1650 Cedar Avenue, room D16.125, Montréal H3G 1A4, Canada. alan.barkun@muhc.mcgill.ca |
Key Words |
Randomized; Biliary; Obstruction; Stent; Plastic; Metal; Palliative; Common bile duct |
Core Tip |
This randomized trial is one of very few comparing partially covered self-expandable metal stent (SEMS) to 10 French plastic stent (PS) in the contemporary palliation of malignant biliary obstruction. In 85 patients, time to stent failure was significantly longer (385.3 ± 52.5 d) in SEMS vs PS (153.3 ± 19.8 d), P = 0.006. Time to death did not differ (192.3 ± 23.4 d for SEMS vs 211.5 ± 28.0 d for PS, P = 0.70). Amongst other measured outcomes, only cholangitis differed and was more common in PS (4.9% vs 24.5%, P = 0.029). |
Publish Date |
2013-12-18 10:00 |
Citation |
Moses PL, AlNaamani KM, Barkun AN, Gordon SR, Mitty RD, Branch MS, Kowalski TE, Martel M, Adam V. Randomized trial in malignant biliary obstruction: Plastic vs partially covered metal stents. World J Gastroenterol 2013; 19(46): 8638-8646 |
URL |
http://www.wjgnet.com/1007-9327/full/v19/i46/8638.htm |
DOI |
http://dx.doi.org/10.3748/wjg.v19.i46.8638 |