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World Journal of Gastrointestinal Surgery 2025年第3期17卷 431-434页

作者： Yun Xie Hui Xie Rui-Lan Wang Intensive Care Unit Shanghai General HospitalShanghai 201600China

This letter responds to Wang et al's recent publication on endoscopic biliary stenting for malignant obstructive jaundice(MOJ)by offering constructive feedback and suggestions for future *** commend the authors for their comprehensive study design and execution,which included a clear delineation of study groups and a robust set of outcome *** suggest that future studies incorporate additional biomarkers,such as serum levels of liver enzymes and bilirubin,to provide a more nuanced understanding of liver function changes *** study's focus on short-term survival rates is appreciated,but we recommend exploring longer-term follow-up periods to capture the full spectrum of survival ***,the inclusion of quality of life assessments using validated instruments could offer a more holistic view of patient *** a critical care perspective,we advocate for the integration of advanced imaging techniques to better characterize biliary anatomy and potentially predict treatment response or *** believe that incor-porating these suggestions could enhance the understanding of endoscopic biliary stenting's role in MOJ management and its impact on patient outcomes,influ-encing future clinical guidelines and practice.

关键词： Malignant obstructive jaundice endoscopic biliary stenting Palliative care Critical care Liver function Quality of life

Overview of endoscopic biliary stenting in malignant obstructive jaundice

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World Journal of Gastrointestinal Surgery 2025年第2期17卷 20-24页

作者： Hui Wang Yan Jiao Qiang Ma Ya-Hui Liu First Operation Room The First Hospital of Jilin UniversityChangchun 130021Jilin ProvinceChina Department of Hepatobiliary and Pancreatic Surgery General Surgery CenterThe First Hospital of Jilin UniversityChangchun 130021Jilin ProvinceChina Department of Emergency Surgery The First Hospital of Jilin UniversityChangchun 130021Jilin ProvinceChina

This article discusses Wang et al’s *** biliary stenting,a less invasive alternative to surgery,is effective for malignant obstructive *** article summarizes the pathophysiology of biliary obstruction,the technical aspects of stenting,and the clinical *** comparison of endoscopic stenting with percutaneous biliary drainage,improvements and complications are focused ***,patient selection for stenting and future advancements in stent technology are ***,endoscopic biliary stenting is a valuable palliative option for patients with malignant jaundice,especially those ineligibles for surgery.

关键词： endoscopic biliary stenting Malignant Obstructive jaundice Surgery Percutaneous biliary drainage

Evaluation of endoscopic biliary stenting for obstructive jaundice caused by hepatocellular carcinoma

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World Journal of Gastroenterology 2014年第22期20卷 6968-6973页

作者： Gen Sugiyama Yoshinobu Okabe Yusuke Ishida Fumihiko Saitou Ryuichi Kawahara Hiroto Ishikawa Hiroyuki Horiuchi Hisafumi Kinoshita Osamu Tsuruta Michio Sata Division of Gastroenterology Department of MedicineKurume University School of MedicineKurume 830-0011Japan

AIM: To review the usefulness of endoscopic biliary stenting for obstructive jaundice caused by hepatocellular carcinoma and identify problems that may need to be addressed.

关键词： Hepatocellular carcinoma Obstructive jaundice biliary drainage Percutaneous transhepatic biliary drainage endoscopic biliary stenting

Changing clinical profile,management strategies and outcome of patients with biliary tract injuries at atertiary care center in SriLanka

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Hepatobiliary & Pancreatic Diseases International 2011年第5期10卷 526-532页

作者： Jasin Arachchige Saman Bingumal Jayasundara Waradana Mohan Malith de Silva Ajith Aloka Pathirana University Surgical Unit Colombo South Teaching Hospital Kalubowila Sri Lanka

BACKGROUND: biliary tract injuries are mostly iatrogenic Related data are limited in developing countries. There are lessons to be learned by revisiting the clinical profiles management issues and outcome of patients referred to a tertiary care center in Sri Lanka, compared with the previous data from the same center published in 2006. Such a review is particularly relevant at a time of changing global perceptions of iatrogenic biliary injuries. This study aimed to analyze and compare the changes in the injury pattern, management and outcome following biliary tract injury in a Sri Lankan study population treated at a tertiary care center. METHODS: A retrospective analysis was made of 67 patients treated between May 2002 and February 2011. The profiles of the last 38 patients treated from October 2006 to February 2011 were compared with those of the first 29 patients treated from May 2002 to September 2006. Definitive management options included endoscopic biliary stenting, reconstructive hepaticojejunostomy with creation of gastric access loops and biliary stricture dilation. Post-treatment jaundice cholangitis and abdominal pain needing intervention were considered as treatment failures. RESULTS: In the 67 patients, 55 were women and 12 men Their mean age was 40.6 (range 19-80) years. Five patients had traumatic injuries. Thirty-seven injuries (23 during the second study period) were due to laparoscopic cholecystectomy and 25 (10 during the second study period) to open cholecystectomy The identification rate of intra-operative injury was 19% in the laparoscopic group and 8% in the open group. Bismuth typeI, II, III and IV injuries were seen in 18, 18, 15 and 12 patients, respectively. endoscopic stenting was the definitive treatment in 20 patients. In 35 patients who had hepaticojejunostomy, 33 underwent creation of the gastric access loop. Twenty- two reconstructions were performed during the second study period. A gastric access loop was used for endotherapy in t

关键词： gastric access loop hepaticojejunostomy endoscopic biliary stenting biliary tract injuries

endoscopic removal and trimming of distal self-expandable metallic biliary stents

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World Journal of Gastroenterology 2011年第21期17卷 2652-2657页

作者： Kentaro Ishii Takao Itoi Atsushi Sofuni Fumihide Itokawa Takayoshi Tsuchiya Toshio Kurihara Shujiro Tsuji Nobuhito Ikeuchi Junko Umeda Fuminori Moriyasu Akihiko Tsuchida Department of Gastroenterology and Hepatology Tokyo Medical University Third Department of Surgery Tokyo Medical University

AIM:To evaluate the efficacy and safety of endoscopic removal and trimming of self-expandable metallic stents(SEMS).METHODS:All SEMS had been placed for distal biliary ***-seven endoscopic procedures were performed in 19 patients in whom SEMS(one uncovered and 18 covered) removal had been attempted,and 8 patients in whom stent trimming using argon plasma coagulation(APC) had been attempted at Tokyo Medical University *** APC settings were:voltage 60-80 W and gas flow at 1.5 L/***:The mean stent indwelling period for all patients in whom stent removal had been attempted was 113.7 ± 77.6 d(range,8-280 d).Of the 19 patients in whom removal of the SEMS had been attempted,the procedure was successful in 14(73.7%) without procedure-related adverse *** indwelling period in the stent removable group was shorter than that in the unremovable group(94.9 ± 71.5 d vs 166.2 ± 76.2 d,P = 0.08).Stent trimming was successful for all patients with one minor adverse event consisting of self-limited *** time ranged from 11 to 16 ***:Although further investigations on larger numbers of cases are necessary to accumulate evidence,the present data suggested that stent removal and stent trimming is feasible and effective for stent-related complications.

关键词： Self-expandable metallic stent endoscopic biliary stenting endoscopic stent removal endoscopic stent trimming