Endoscopic palliation of malignant biliary obstruction or gastric outlet obstruction can be technically challenging and might require other interventions in some patients. Results from two recent studies suggest that nitinol self-expanding metal stents are safe and effective for both indications and might decrease the need for other interventions in these patients.
This is a preview of subscription content, access via your institution
Access options
Subscribe to this journal
Receive 12 print issues and online access
$209.00 per year
only $17.42 per issue
Buy this article
- Purchase on Springer Link
- Instant access to full article PDF
Prices may be subject to local taxes which are calculated during checkout
References
Varadarajulu, S. et al. Enteral stents. Gastrointest. Endosc. 74, 455–464 (2011).
Luigiano, C. et al. A comparison of uncovered metal stents for the palliation of patients with malignant biliary obstruction: nitinol vs. stainless steel. Dig. Liver Dis. http://dx.doi.org/10.1016/j.dld.2011.08.015.
Loew, B. J. et al. Comparative performance of uncoated, self-expanding metal biliary stents of different designs in 2 diameters: final results of an international multicenter, randomized, controlled trial. Gastrointest. Endosc. 70, 445–453 (2009).
Saleem, A., Leggett, C. L., Murad, M. H. & Baron, T. H. Meta-analysis of randomized trials comparing the patency of covered and uncovered self-expandable metal stents for palliation of distal malignant bile duct obstruction. Gastrointest. Endosc. 74, 321–327 (2011).
Costamagna, G. et al. Treatment of malignant gastroduodenal obstruction with a nitinol self-expanding metal stent: An international prospective multicentre registry. Dig. Liver Dis. http://dx.doi.org/10.1016/j.dld.2011.08.012.
Piesman, M. et al. Improved oral intake after palliative duodenal stenting for malignant obstruction: a prospective multicenter clinical trial. Am. J. Gastroenterol. 104, 2404–2411 (2009).
van Hooft, J. E. et al. Efficacy and safety of the new WallFlex enteral stent in palliative treatment of malignant gastric outlet obstruction (DUOFLEX study): a prospective multicenter study. Gastrointest. Endosc. 69, 1059–1066 (2009).
Jeurnink, S. M. et al. Surgical gastrojejunostomy or endoscopic stent placement for the palliation of malignant gastric outlet obstruction (SUSTENT study): a multicenter randomized trial. Gastrointest. Endosc. 71, 490–499 (2010).
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Competing interests
The authors declare no competing financial interests.
Rights and permissions
About this article
Cite this article
Pannala, R., Ross, A. Nitinol self-expanding metal stents—safe and effective?. Nat Rev Gastroenterol Hepatol 9, 10–11 (2012). https://doi.org/10.1038/nrgastro.2011.246
Published:
Issue Date:
DOI: https://doi.org/10.1038/nrgastro.2011.246