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Comparison of 8‐ and 10‐mm diameter fully covered self‐expandable metal stents: A multicenter prospective study in patients with distal malignant biliary obstruction
http://hdl.handle.net/2237/00030822
http://hdl.handle.net/2237/00030822e24863ad-700d-41c2-bfbb-b1f1f42fc4cd
| 名前 / ファイル | ライセンス | アクション |
|---|---|---|
JGES-DEN-2018-8274 (354.3 kB)
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| Item type | 学術雑誌論文 / Journal Article(1) | |||||
|---|---|---|---|---|---|---|
| 公開日 | 2019-10-21 | |||||
| タイトル | ||||||
| タイトル | Comparison of 8‐ and 10‐mm diameter fully covered self‐expandable metal stents: A multicenter prospective study in patients with distal malignant biliary obstruction | |||||
| 言語 | en | |||||
| 著者 |
Kawashima, Hiroki
× Kawashima, Hiroki× Hashimoto, Senju× Ohno, Eizaburo× Ishikawa, Takuya× Morishima, Tomomasa× Matsubara, Hiroshi× Sugimoto, Hiroyuki× Nonogaki, Koji× Kanamori, Akira× Hara, Kazuo× Kuwahara, Takamichi× Nakamura, Masanao× Miyahara, Ryoji× Ishigami, Masatoshi× Ando, Masahiko× Hirooka, Yoshiki |
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| アクセス権 | ||||||
| アクセス権 | open access | |||||
| アクセス権URI | http://purl.org/coar/access_right/c_abf2 | |||||
| 権利 | ||||||
| 言語 | en | |||||
| 権利情報 | This is the peer reviewed version of the following article: [Kawashima, H. , Hashimoto, S. , Ohno, E. , Ishikawa, T. , Morishima, T. , Matsubara, H. , Sugimoto, H. , Nonogaki, K. , Kanamori, A. , Hara, K. , Kuwahara, T. , Nakamura, M. , Miyahara, R. , Ishigami, M. , Ando, M. , Hirooka, Y. and , (2019), Comparison of 8‐ and 10‐mm diameter fully covered self‐expandable metal stents: A multicenter prospective study in patients with distal malignant biliary obstruction. Digestive Endoscopy, 31: 439-447. doi:10.1111/den.13366], which has been published in final form at [https://doi.org/10.1111/den.13366]. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions. | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | drainage | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | endoscopic retrograde cholangiography | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | stents | |||||
| 抄録 | ||||||
| 内容記述タイプ | Abstract | |||||
| 内容記述 | Objectives: The time to recurrent biliary obstruction (TRBO) of unresectable distal malignant biliary obstruction is generally thought to be longer when a self‐expandable metal stent (SEMS) with a thicker inner diameter is used for drainage, but the dependence on the inner diameter using a fully covered SEMS (FCSEMS) is uncertain. The objective of this multicenter prospective study was to compare TRBO and adverse events, such as cholecystitis and pancreatitis, in treatment of patients with unresectable malignant biliary obstruction using 8‐ and 10‐mm diameter FCSEMS. Methods: Eighteen tertiary‐care centers participated in the study. Patients were allocated to the 8‐ and 10‐mm diameter groups. TRBO, non‐inferiority of the 8‐mm FCSEMS, overall survival time, frequency and type of adverse events, and non‐recurrent biliary obstruction (RBO) rate at the time of death were compared between the two groups. Results: Median TRBO did not differ significantly between the 8‐mm (n = 102) and 10‐mm (n = 100) groups (275 vs 293 days, P = 0.971). The hazard ratio of the 8‐ to 10‐mm groups was 0.90 (80% confidence interval, 0.77–1.04; upper limit lower than the acceptable hazard ratio [1.33] of the null hypothesis). Based on these findings, the 8‐mm diameter stent was determined to be non‐inferior to the 10‐mm diameter stent. Survival time, incidence of adverse events and non‐RBO rate at the time of death did not differ significantly between the two groups. Conclusions: Time to RBO with an 8‐mm diameter FCSEMS was non‐inferior to that with a 10‐mm diameter FCSEMS. This finding is important for development of future SEMS. | |||||
| 言語 | en | |||||
| 内容記述 | ||||||
| 内容記述タイプ | Other | |||||
| 内容記述 | ファイル公開：2020-07-01 | |||||
| 言語 | ja | |||||
| 出版者 | ||||||
| 出版者 | Wiley | |||||
| 言語 | en | |||||
| 言語 | ||||||
| 言語 | eng | |||||
| 資源タイプ | ||||||
| 資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
| 資源タイプ | journal article | |||||
| 出版タイプ | ||||||
| 出版タイプ | AM | |||||
| 出版タイプResource | http://purl.org/coar/version/c_ab4af688f83e57aa | |||||
| DOI | ||||||
| 関連タイプ | isVersionOf | |||||
| 識別子タイプ | DOI | |||||
| 関連識別子 | https://doi.org/10.1111/den.13366 | |||||
| ISSN（print） | ||||||
| 収録物識別子タイプ | PISSN | |||||
| 収録物識別子 | 0915-5635 | |||||
| 書誌情報 |
en : Digestive Endoscopy 巻 31, 号 4, p. 439-447, 発行日 2019-07 |
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| 著者版フラグ | ||||||
| 値 | author | |||||
