Technical-Spotlight_vol09
Contents
1. Technical Spotight wl 3 ERCP ERCP 10 90 60 60 902. CMS stenting Kahaleh GIE 2008 Kahaleh GIE 2007 CMS 1 Stent Patency in CMS GEM and PS GEM groups 7 49 0 82 vs 5 0 2 26 p 0 003 100 Patency oo CO 0 2 4 6 8 10 12 14 16 t mo 2 EMS MS MS
3. 2008 Boston Scientific Corporation or its affiliates All rights reserved RADIFOCUS Swing Tip catheter Diamond Wallstent Boston Scientific Corporation 4 Swing Tip catheterTM RADIFOCUS CMS
4. Okamoto GIE 2006 MS Wallstent edge EST MS stenting Uncovered Wallstent PS Tham Gut 1998 retrospective study MS PS MS Rogart GIE 2008 UMS CMS Togawa J Clin Gastroenterol 2008 RCT
5. ECMS 1 TJF JF260V MS 10mm 10mm 8mm migration 2 MS 1 5 2 3 ERCP
6. EST NSAID CMS CMS Suk GIE 2006 IDUS Nakai GIE 2008 CMS UMS EST ERCP MS 2 MS PS MS
7. 5 PS 6 MS 1 Ito Dig Endosc 2004 AAPB UMS Kogure Surg Endosc 2008 ERCP ESBD MS MS 6 MS MS ERCP
8. 1 14 11 www bostonscientific jp 0809 32010 5 PSST20080922 0478
9. MS 2 259 PS 108 JDDVV 2008 retrospective 93 77 Paik GIE 2008 RCT OOL Saluja Clin Gastroenterol Hepatol 2008 2 PS MS RCT 5 4 MS
10. MS MS stenting Kahaleh Endoscopy 2007 stenting covered metal stent CMS migration uncovered metal stent UMS tumor 1 a b EUS a Covered Wallstent M b ingrowth
11. 6 lto WJG 2007 CMS EUS Takasawa Dig Endosc 2008 QOL UDCA MS QOL follow up plan MS Boston Scientific Delivering what s next
12. migration tumor overdgrowth CMS shortening migration shortening Wallstent M 5 MS 3 4
13. 9 87 6 23 Takasawa WJG 2006 PS clogging PS 5 CMS 7 49 Wagner Endoscopy 1993 2008 2008 2008 2008 RCT Palma GIE 2001 metal stent CMS 1 Takasawa WJG 2006
14. H 1 Plastic stent versus metal stent for malignant extrahepatic biliary obstruction Plastic stent n Median survival Median stent p Pp Author ME nh period patency 1992 10 Fr polyethylene 56 147d 126d Davids Wallstent 49 175d 0 273d 0 1993 11 5 Fr polyethylene 31 n m mm 4 6 0 7m Knyrim Wall or Strecker stent 31 n m B62 1 9m 1998 11 5 Fr polyethylene 33 4 8m 3 2m Prat 11 5 Fr polyethylene 34 5 6m n S lt 0 05 Wallstent 34 4 5m 4 8m 2003 10 Fr Tannenbaum 59 3 3m 5 5m 0007 Kaassis Wallstent 59 5 1m notreached 2006 10 Fr polyethylene 51 3 9m 1 8m Soderlund Covered Wallstent 49 0 3 6m 00020 plastic stent to be exchanged every 3 months d day m months n m not mentioned n s not significant Boston MS Uncovered Diamond Uncovered WallstentrV Dumonceau AJG 2000 RCT Covered Diamond
15. plastic stent PS ESBD Fujita _ WJG 2007 Gastroenterogical Endoscopy 2008 Fujita J Gastroenterol 2008 stenting ESBD C Technical Spotiight W Gemcitabine 1 PS MS
16. MS CMS Covered Wallstent Uncovered type 2 Stent patency in Covered Wallstent and Covered Diamond Kaplan Meier method Covered Wallstent 310 34 days Covered Diamond 314 42 days log rank p 0 9964 Patency 0 100 200 300 400 Day Covered Wallstent Uncovered Wallstent Itoi Dig Endosc 2002 UMS Covered Wallstent stenting Kahaleh GIE 2004 CMS 1 CMS
17. 3 2007 B 1987 Speer Lancet EBD PTCD Randomized Controlled Trial RCT EBD EBD
18. Uncovered Diamond lsayama Gut 2004 Covered Diamond 19 Covered Wallstent 30 50 314 310 2 lto UEGW 2005 Uncovered Wallstent Covered Wallstent retrospective Park Clin Gastroenterol Hepatol 2006 Yoon GIE 2006 Uncovered 202 Covered 245 Yoon GIE 2006 RCT Wallstent Uncovered Covered tumor ingrowth Gonzalez huix DDW 2008 Diamond Wallstent covered type uncovered type Diamond Wallstent Uncovered type tumor ingrowth tumor ingrowth
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