Duodenal metal stent placement is a risk factor for biliary metal stent dysfunction: an analysis using a time-dependent covariate

详细信息    查看全文

• 作者：Tsuyoshi Hamada (1) (2)
  Yousuke Nakai (1)
  Hiroyuki Isayama (1)
  Takashi Sasaki (1)
  Hirofumi Kogure (1)
  Kazumichi Kawakubo (1)
  Naoki Sasahira (1)
  Natsuyo Yamamoto (1)
  Osamu Togawa (3)
  Suguru Mizuno (4)
  Yukiko Ito (2)
  Kenji Hirano (1)
  Nobuo Toda (5)
  Minoru Tada (1)
  Kazuhiko Koike (1)
  
• 关键词：Biliary metal stent ; Distal malignant biliary obstruction ; Duodenal metal stent ; Gastric outlet obstruction
• 刊名：Surgical Endoscopy
• 出版年：2013
• 出版时间：April 2013
• 年：2013
• 卷：27
• 期：4
• 页码：1243-1248
• 全文大小：234KB
• 参考文献：1. Davids P, Groen A, Rauws E, Tytgat G, Huibregtse K (1992) Randomised trial of self-expanding metal stents versus polyethylene stents for distal malignant biliary obstruction. Lancet 340:1488-492 CrossRef
  2. Knyrim K, Wagner H, Pausch J, Vakil N (1993) A prospective, randomized, controlled trial of metal stents for malignant obstruction of the common bile duct. Endoscopy 25:207-12 CrossRef
  3. Lammer J, Hausegger K, Flückiger F, Winkelbauer F, Wildling R, Klein G, Thurnher S, Havelec L (1996) Common bile duct obstruction due to malignancy: treatment with plastic versus metal stents. Radiology 201:167-72
  4. Isayama H, Yasuda I, Ryozawa S, Maguchi H, Igarashi Y, Matsuyama Y, Katanuma A, Hasebe O, Irisawa A, Itoi T, Mukai H, Arisaka Y, Okushima K, Uno K, Kida M, Tamada K (2011) Results of a Japanese multicenter, randomized trial of endoscopic stenting for non-resectable pancreatic head cancer (Jm-Test): covered Wallstent versus doublelayer stent. Dig Endosc 23:310-15 CrossRef
  5. Baron TH (2001) Expandable metal stents for the treatment of cancerous obstruction of the gastrointestinal tract. N Engl J Med 344:1681-687 CrossRef
  6. Adler DG, Baron TH (2002) Endoscopic palliation of malignant gastric outlet obstruction using self-expanding metal stents: experience in 36 patients. Am J Gastroenterol 97:72-8 CrossRef
  7. Dormann A, Meisner S, Verin N, Wenk Lang A (2004) Self-expanding metal stents for gastroduodenal malignancies: systematic review of their clinical effectiveness. Endoscopy 36:543-50 CrossRef
  8. Sasaki T, Isayama H, Nakai Y, Togawa O, Kogure H, Kawakubo K, Mizuno S, Yashima Y, Ito Y, Yamamoto N, Sasahira N, Hirano K, Tsujino T, Toda N, Tada M, Omata M, Koike K (2012) Predictive factors of solid food intake in patients with malignant gastric outlet obstruction receiving self-expandable metallic stents for palliation. Dig Endosc 24:226-30 CrossRef
  9. Maetani I, Ogawa S, Hoshi H, Sato M, Yoshioka H, Igarashi Y, Sakai Y (1994) Self-expanding metal stents for palliative treatment of malignant biliary and duodenal stenoses. Endoscopy 26:701-04 CrossRef
  10. Kaw M, Singh S, Gagneja H (2003) Clinical outcome of simultaneous self-expandable metal stents for palliation of malignant biliary and duodenal obstruction. Surg Endosc 17:457-61 CrossRef
  11. Mutignani M, Tringali A, Shah SG, Perri V, Familiari P, Iacopini F, Spada C, Costamagna G (2007) Combined endoscopic stent insertion in malignant biliary and duodenal obstruction. Endoscopy 39:440-47 CrossRef
  12. Maire F, Hammel P, Ponsot P, Aubert A, O’Toole D, Hentic O, Levy P, Ruszniewski P (2006) Long-term outcome of biliary and duodenal stents in palliative treatment of patients with unresectable adenocarcinoma of the head of pancreas. Am J Gastroenterol 101:735-42 CrossRef
  13. Katsinelos P, Kountouras J, Germanidis G, Paroutoglou G, Paikos D, Lazaraki G, Pilpilidis I, Chatzimavroudis G, Fasoulas K, Zavos C (2010) Sequential or simultaneous placement of self-expandable metallic stents for palliation of malignant biliary and duodenal obstruction due to unresectable pancreatic head carcinoma. Surg Laparosc Endosc Percutan Tech 20:410-15 CrossRef
  14. Nakai Y, Isayama H, Komatsu Y, Tsujino T, Toda N, Sasahira N, Yamamoto N, Hirano K, Tada M, Yoshida H, Kawabe T, Omata M (2005) Efficacy and safety of the covered Wallstent in patients with distal malignant biliary obstruction. Gastrointest Endosc 62:742-48 CrossRef
  15. Nakai Y, Isayama H, Togawa O, Kogure H, Tsujino T, Yagioka H, Yashima Y, Sasaki T, Ito Y, Matsubara S, Hirano K, Sasahira N, Toda N, Tada M, Kawabe T, Omata M, Koike K (2011) New method of covered wallstents for distal malignant biliary obstruction to reduce early stent-related complications based on characteristics. Dig Endosc 23:49-5 CrossRef
  16. Isayama H, Kawabe T, Nakai Y, Ito Y, Togawa O, Kogure H, Yashima Y, Yagioka H, Matsubara S, Sasaki T, Sasahira N, Hirano K, Tsujino T, Tada M, Omata M (2010) Management of distal malignant biliary obstruction with the ComVi stent, a new covered metallic stent. Surg Endosc 24:131-37 CrossRef
  17. Isayama H, Komatsu Y, Tsujino T, Sasahira N, Hirano K, Toda N, Nakai Y, Yamamoto N, Tada M, Yoshida H, Shiratori Y, Kawabe T, Omata M (2004) A prospective randomised study of “covered-versus “uncovered-diamond stents for the management of distal malignant biliary obstruction. Gut 53:729-34 CrossRef
  18. Isayama H, Komatsu Y, Tsujino T, Yoshida H, Tada M, Shiratori Y, Kawabe T, Omata M (2002) Polyurethane-covered metal stent for management of distal malignant biliary obstruction. Gastrointest Endosc 55:366-70 CrossRef
  19. Kim YW, Choi CW, Kang DH, Kim HW, Chung CU, Kim DU, Park SB, Park KT, Kim S, Jeung EJ, Bae YM (2011) A double-layered (Comvi) self-expandable metal stent for malignant gastroduodenal obstruction: a prospective multicenter study. Dig Dis Sci 56:2030-036 CrossRef
  20. Isayama H, Sasaki T, Nakai Y, Togawa O, Kogure H, Sasahira N, Yashima Y, Kawakubo K, Ito Y, Hirano K, Tsujino T, Toda N, Tada M, Omata M, Koike K (2012) Management of malignant gastric outlet obstruction with a modified triple-layer covered metal stent. Gastrointest Endosc 75:757-63 CrossRef
  21. van Hooft JE, Uitdehaag MJ, Bruno MJ, Timmer R, Siersema PD, Dijkgraaf MG, Fockens P (2009) Efficacy and safety of the new WallFlex enteral stent in palliative treatment of malignant gastric outlet obstruction (DUOFLEX study): a prospective multicenter study. Gastrointest Endosc 69:1059-066 CrossRef
  22. Maetani I, Isayama H, Mizumoto Y (2007) Palliation in patients with malignant gastric outlet obstruction with a newly designed enteral stent: a multicenter study. Gastrointest Endosc 66:355-60 CrossRef
  23. Maetani I, Ukita T, Tada T, Shigoka H, Omuta S, Endo T (2009) Metallic stents for gastric outlet obstruction: reintervention rate is lower with uncovered versus covered stents, despite similar outcomes. Gastrointest Endosc 69:806-12 CrossRef
  24. Flamm CR, Mark DH, Aronson N (2002) Evidence-based assessment of ERCP approaches to managing pancreaticobiliary malignancies. Gastrointest Endosc 56:S218–S225 CrossRef
  25. Wong YT, Brams DM, Munson L, Sanders L, Heiss F, Chase M, Birkett DH (2002) Gastric outlet obstruction secondary to pancreatic cancer: surgical versus endoscopic palliation. Surg Endosc 16:310-12 CrossRef
  26. Hamada T, Isayama H, Nakai Y, Togawa O, Kogure H, Kawakubo K, Tsujino T, Sasahira N, Hirano K, Yamamoto N, Arizumi T, Ito Y, Matsubara S, Sasaki T, Yagioka H, Yashima Y, Mohri D, Miyabayashi K, Mizuno S, Nagano R, Takahara N, Toda N, Tada M, Omata M, Koike K (2011) Duodenal invasion is a risk factor for the early dysfunction of biliary metal stents in unresectable pancreatic cancer. Gastrointest Endosc 74:548-55 CrossRef
  27. Misra S, Dwivedi M (2009) Reflux of duodenal contents and cholangitis in patients undergoing self-expanding metal stent placement. Gastrointest Endosc 70:317-21 CrossRef
  28. Okamoto T, Fujioka S, Yanagisawa S, Yanaga K, Kakutani H, Tajiri H, Urashima M (2006) Placement of a metallic stent across the main duodenal papilla may predispose to cholangitis. Gastrointest Endosc 63:792-96 CrossRef
  29. Kahaleh M, Hernandez AJ, Tokar J, Adams RB, Shami VM, Yeaton P (2006) Interventional EUS-guided cholangiography: evaluation of a technique in evolution. Gastrointest Endosc 64:52-9 CrossRef
  30. Horaguchi J, Fujita N, Noda Y, Kobayashi G, Ito K, Obana T, Takasawa O, Koshita S, Kanno Y (2009) Endosonography-guided biliary drainage in cases with difficult transpapillary endoscopic biliary drainage. Dig Endosc 21:239-44 CrossRef
  31. Park do H, Song TJ, Eum J, Moon SH, Lee SS, Seo DW, Lee SK, Kim MH (2010) EUS-guided hepaticogastrostomy with a fully covered metal stent as the biliary diversion technique for an occluded biliary metal stent after a failed ERCP (with videos). Gastrointest Endosc 71:413-19 CrossRef
  32. Itoi T, Isayama H, Sofuni A, Itokawa F, Kurihara T, Tsuchiya T, Tsuji S, Ishii K, Ikeuchi N, Tanaka R, Umeda J, Moriyasu F, Kawakami H (2011) Stent selection and tips on placement technique of EUS-guided biliary drainage: transduodenal and transgastric stenting. J Hepatobiliary Pancreat Sci 18:664-72 CrossRef
  33. Kawakubo K, Isayama H, Nakai Y, Sasahira N, Kogure H, Sasaki T, Hirano K, Tada M, Koike K (2012) Simultaneous duodenal metal stent placement and EUS-guided choledochoduodenostomy for unresectable pancreatic cancer. Gut Liver 6:399-02 CrossRef
  
• 作者单位：Tsuyoshi Hamada (1) (2)
  Yousuke Nakai (1)
  Hiroyuki Isayama (1)
  Takashi Sasaki (1)
  Hirofumi Kogure (1)
  Kazumichi Kawakubo (1)
  Naoki Sasahira (1)
  Natsuyo Yamamoto (1)
  Osamu Togawa (3)
  Suguru Mizuno (4)
  Yukiko Ito (2)
  Kenji Hirano (1)
  Nobuo Toda (5)
  Minoru Tada (1)
  Kazuhiko Koike (1)
  
  1. Department of Gastroenterology, Graduate School of Medicine, University of Tokyo, 7-3-1 Hongo Bunkyo-ku, Tokyo, 113-8655, Japan
  2. Department of Gastroenterology, Japanese Red Cross Medical Center, Tokyo, Japan
  3. Department of Gastroenterology, JR Tokyo General Hospital, Tokyo, Japan
  4. Department of Gastroenterology, Kanto Central Hospital, Tokyo, Japan
  5. Department of Gastroenterology, Mitsui Memorial Hospital, Tokyo, Japan
  
• ISSN：1432-2218

文摘

Background Although the combination of biliary and duodenal self-expandable metal stents (SEMS) is useful, the exacerbating effect of duodenal SEMS placement on biliary SEMS has not been documented. We conducted a multicenter retrospective study to evaluate the effect of duodenal SEMS placement on biliary SEMS. Methods Patients who underwent first-time biliary SEMS placement for a distal malignant biliary obstruction between September 1994 and November 2010 were included. Time to dysfunction of biliary SEMS was analyzed to identify risk factors for biliary SEMS dysfunction. Duodenal SEMS placement was analyzed as a time-dependent covariate. Results In total, 410 eligible patients were identified. Duodenal SEMS were placed in 33 patients (8?%). The median time to dysfunction of biliary SEMS was 170?days. Male gender (hazard ratio 1.37, 95?% confidence interval 1.03-.83, P?=?0.029) and duodenal SEMS placement (hazard ratio 2.00, 95?% confidence interval 1.16-.45, P?=?0.013) were risk factors in the multivariate Cox model. In patients undergoing duodenal SEMS, biliary SEMS dysfunction was observed in 17 (52?%) with a median time to dysfunction of 64?days after duodenal SEMS placement. As many as 60?% of the patients with biliary SEMS dysfunction after duodenal SEMS placement needed permanent percutaneous transhepatic biliary external drainage. Conclusions Duodenal SEMS placement is a risk factor for biliary SEMS dysfunction. Alternative methods for biliary drainage should be considered for better biliary drainage in patients with a gastric outlet obstruction.