Comparison of time to recurrent biliary obstruction between plastic stents and metallic stents for endoscopic ultrasound‑guided biliary drainage

Sugimoto,Mitsuru; Takagi,Tadayuki; Suzuki,Rei; Waragai,Yuichi; Konno,Naoki; Asama,Hiroyuki; Sato,Yuki; Irie,Hiroki; Nakamura,Jun; Takasumi,Mika; Hashimoto,Minami ,; Kato,Tsunetaka; Kobashi,Ryoichiro; Yanagita,Takumi; Hikichi,Takuto; Ohira,Hiromasa

doi:10.3892/etm.2023.11913

Comparison of time to recurrent biliary obstruction between plastic stents and metallic stents for endoscopic ultrasound‑guided biliary drainage

Authors:
- Mitsuru Sugimoto
- Tadayuki Takagi
- Rei Suzuki
- Yuichi Waragai
- Naoki Konno
- Hiroyuki Asama
- Yuki Sato
- Hiroki Irie
- Jun Nakamura
- Mika Takasumi
- Minami , Hashimoto
- Tsunetaka Kato
- Ryoichiro Kobashi
- Takumi Yanagita
- Takuto Hikichi
- Hiromasa Ohira
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Affiliations: Department of Gastroenterology, School of Medicine, Fukushima Medical University, Fukushima 960‑1295, Japan, Department of Gastroenterology, Soma General Hospital, Soma 976‑0011, Japan, Department of Endoscopy, Fukushima Medical University Hospital, Fukushima 960‑1295, Japan
Published online on: March 27, 2023 https://doi.org/10.3892/etm.2023.11913
Article Number: 214

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Abstract

Endoscopic ultrasound‑guided biliary drainage (EUS‑BD) may prevent stent placement at the bile duct stricture. Therefore, whether a plastic stent (PS) or metallic stent (MS) should be used for EUS‑BD remains to be undetermined. The present study aimed to clarify whether a PS or MS was more efficient for EUS‑BD. Patients with malignant biliary obstruction who were successfully treated with EUS‑BD were enrolled in the present study. The clinical characteristics, procedural outcomes and time to recurrent biliary obstruction (TRBO) were compared between patients treated with a PS (PS group) and patients treated with an MS (MS group). Consequently, 28 patients underwent PS placement and 11 patients underwent MS placement. In the PS group, 12 patients also underwent EUS‑antegrade stenting (AGS) using an MS. The TRBO was not significantly different between the two groups (P=0.25). When the patients with AGS were excluded, the TRBO was significantly longer in the MS group than in the PS group (P=0.036). However, the TRBO was not significantly different between the patients in the MS group and those in the PS group who underwent AGS (P=0.61). In EUS‑BD, MS is expected to be associated with a longer TRBO than PS. However, combining EUS‑BD with AGS may help overcome the shorter TRBO associated with the use of PS.

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