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William E. Strodel, MD
San Antonio, Tex

Arch Surg. 2001;136:669.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

The article represents a retrospective review of 15 patients who underwent placement of expandable metallic stents for treatment of benign biliary strictures. The review represents the longest follow-up of any study that has used metallic stents for benign strictures. The study's mean follow-up of 86.3 months is significantly longer than previously reported durations of 33 months, 32 months, and 36 months.^1-3 Expandable stents have been attractive for palliation of patients who have unresectable lesions due to malignant bile duct invasion or compression of the biliary tree. The metallic stent can be expanded to a larger diameter (8-10 mm) when compared with the small diameter (3-4 mm) plastic stents.

The authors conclude that results are poor (67%) with the metallic stents when they are used for benign biliary strictures. They advocate their use only in patients who are at high operative risk, with intrahepatic biliary strictures, or . . . [Full Text of this Article]

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Long-term Results of Metallic Stents for Benign Biliary Strictures
Richard R. Lopez, Jr, Carlos A. Cosenza, Juan Lois, Allen L. Hoffman, Linda S. Sher, Hiroji Noguchi, Shi-Hui Pan, and Michael McMonigle
Arch Surg. 2001;136(6):664-669.
ABSTRACT | FULL TEXT