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The Status of SEMS Versus Plastic Stents for Benign Biliary Strictures

  • M. J. BartelEmail author
  • J. T. Higa
  • J. L. Tokar
Pancreas and Biliary Tract (O Haluszka, Section Editor)
  • 19 Downloads
Part of the following topical collections:
  1. Topical Collection on Pancreas and Biliary Tract

Abstract

Purpose of Review

Benign biliary strictures can be treated with plastic stents and self-expandable metal stents (SEMS). This review article delineates the latest scientific evidence for their usage.

Recent Findings

Despite evolving literature on both type of stents as treatment modalities of benign biliary strictures, which encompass mainly anastomotic strictures and strictures related to chronic pancreatitis, no final conclusions can be drawn regarding the superiority of a particular stent. SEMS tend to have higher stricture resolution rates and fewer procedural requirements which are partly offset by higher stent migration and stricture recurrence rates compared with plastic stents.

Summary

Additional studies focusing on new SEMS types with anti-migration features as well as cost-effectiveness calculations are necessary for clinical decision-making when treating patients with benign biliary strictures.

Keywords

Benign biliary strictures Review Plastic stent Metal stent 

Notes

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

References

Papers of particular interest, published recently, have been highlighted as: • Of importance

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Section of Gastroenterology, Fox Chase Cancer CenterTemple HealthPhiladelphiaUSA

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