ArticleWorld journal of clinical cases2019
Development of a biliary multi-hole self-expandable metallic stent for bile tract diseases: A case report.
Article in World journal of clinical cases, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed, 20 citations in OpenAlex.
- Article
- Benefit of multi-hole self-expandable metal stent placement for hilar biliary bleeding: effective hemostasis without biliary branch obstruction.Endoscopy · 2026Article
- Multi-Hole Self-Expandable Metallic Stent for Malignant Distal Biliary Obstruction: A Literature Review.Journal of clinical medicine · 2026Review
- Partially covered or uncovered metal stent efficacy in malignant unresectable distal biliary obstruction (METARSI): Randomized multicenter trial.Endoscopy international open · 2026Article
- Side-by-side placement of a novel slim 6-mm multi-hole covered self-expandable metallic stent for malignant hilar biliary obstruction.Endoscopy · 2025Article
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- Article
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- Reintervention for recurrent biliary obstruction after stent-in-stent deployment of multi-hole self-expandable metal stents.Endoscopy · 2025Article
- Multi-holed fully covered self-expandable metal stent to dilate a benign hepaticojejunostomy anastomotic stricture.Endoscopy · 2025Article
- Endoscopic biliary drainage with multi-hole self-expandable metallic stent during neoadjuvant chemoradiotherapy in pancreatic cancer.World journal of gastrointestinal endoscopy · 2025Article
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- Review
- Article
- Endoscopic Stenting of a Fully Covered Self-Expandable Metal Stent with a Hole in Each Cavity in Malignant Hilar Biliary Obstruction: A Preclinical Proof-of-Concept Study and Initial Human Experience.Digestive diseases and sciences · 2025Article
- Prevention of stent migration of covered self-expandable metal stents in distal malignant biliary obstruction: a review of literature.Gastroenterology report · 2025Review
- Stent-in-stent deployment across the papilla for malignant hilar biliary obstruction using novel slim multi-hole metal stents.Endoscopy international open · 2025Article
- Advances in functional coatings on biliary stents.Regenerative biomaterials · 2024Review
- Efficacy of multi-hole self-expandable metal stent compared to fully covered and uncovered self-expandable metal stents in patients with unresectable malignant distal biliary obstruction: a propensity analysis.Surgical endoscopy · 2024Article
- Article
Corrections and comments
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Authors and funding
1 author at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundUncovered stents used for malignant obstructions in the biliary tree, especially in the hilar area, are prone to obstruction by tumor ingrowths. In comparison, however, covered stents may block bile duct branches and are at risk of migration. We have developed a multi-hole self-expandable metallic stent (MHSEMS), with a hole in each cell, to prevent the obstruction of bile duct branches. In addition, the holes may prevent migration due to small ingrowths by reducing the tension of the membrane. CASE SUMMARY: MHSEMS were placed in five patients with a malignant obstruction and one with post-endoscopic sphincterotomy bleeding. Each MHSEMS was successfully deployed in all cases. Patients showed no complications. Two cases were reviewed. Case 1: A 74-year-old male presented with jaundice and was diagnosed with a sigmoid colon cancer and giant liver metastases in the right liver lobe. A MHSEMS was placed in the left bile duct. The jaundice improved and peroral cholangioscopy was performed. Case 2: A 90-year-old female was admitted to hospital for jaundice and diagnosed with cholangiocarcinoma. A MHSEMS was placed in the left bile duct but after 8 months the stent became obstructed by tumor ingrowth. We treated the patient by ablation therapy. A silicone cover separated the internal bile duct from the surrounding tissue, protecting the latter from thermal injury during treatment by endobiliary ablation of the re-obstruction.
conclusionA MHSEMS is a new choice of stent for biliary tract diseases.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.