Chronic Pancreatitis Clinical Trial
Official title:
Self-expandable, Fully Covered Metal Stents in Biliary Strictures Due to Chronic Pancreatitis Not Responding to Plastic Stenting: a Prospective Study With Two Years Follow-up.
The purpose of the study was to analyze the resolution rate of benign biliary strictures due to chronic pancreatitis after temporary insertion of unflared-ends and flared-ends fully covered self-expandable metal stents.
Endoscopic treatment of benign biliary strictures include the placement of plastic stents or
Self-Expandable Metal Stents. Long term results of placement of a single plastic stent are
disappointing. Better results have been obtained by endoscopic insertion of multiple plastic
stents.
Biliary Self-Expandable Metal Stents used for malignant strictures are uncovered or
partially covered with a plastic coating. More recently, fully covered SEMS have been
developed and are now available on the market and due to their removability are proposed
also for benign indications.
Uncovered and partially covered biliary Self-Expandable Metal Stents for chronic
pancreatitis-related benign biliary strictures on long-term may clog due to tissue ingrowth
through the uncovered meshes.
Removable fully covered Self-Expandable Metal Stents seem to be an attractive option for
CP-related BBS, but scarce data are available in the literature.
The investigators conducted a feasibility, prospective, tertiary single-centre trial to
investigate the durable resolution of chronic pancreatitis-related benign biliary strictures
after temporary insertion of FC SEMS with unflared-ends and flared-ends.
;
Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
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