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  1. C100 医学部/医学系研究科
  2. C100a 雑誌掲載論文
  3. 学術雑誌

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/2237/00030822
e24863ad-700d-41c2-bfbb-b1f1f42fc4cd
名前 / ファイル ライセンス アクション
JGES-DEN-2018-8274.pdf JGES-DEN-2018-8274 (354.3 kB)
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

WEKO 93810

en Kawashima, Hiroki

Search repository
Hashimoto, Senju

× Hashimoto, Senju

WEKO 93811

en Hashimoto, Senju

Search repository
Ohno, Eizaburo

× Ohno, Eizaburo

WEKO 93812

en Ohno, Eizaburo

Search repository
Ishikawa, Takuya

× Ishikawa, Takuya

WEKO 93813

en Ishikawa, Takuya

Search repository
Morishima, Tomomasa

× Morishima, Tomomasa

WEKO 93814

en Morishima, Tomomasa

Search repository
Matsubara, Hiroshi

× Matsubara, Hiroshi

WEKO 93815

en Matsubara, Hiroshi

Search repository
Sugimoto, Hiroyuki

× Sugimoto, Hiroyuki

WEKO 93816

en Sugimoto, Hiroyuki

Search repository
Nonogaki, Koji

× Nonogaki, Koji

WEKO 93817

en Nonogaki, Koji

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Kanamori, Akira

× Kanamori, Akira

WEKO 93818

en Kanamori, Akira

Search repository
Hara, Kazuo

× Hara, Kazuo

WEKO 93819

en Hara, Kazuo

Search repository
Kuwahara, Takamichi

× Kuwahara, Takamichi

WEKO 93820

en Kuwahara, Takamichi

Search repository
Nakamura, Masanao

× Nakamura, Masanao

WEKO 93821

en Nakamura, Masanao

Search repository
Miyahara, Ryoji

× Miyahara, Ryoji

WEKO 93822

en Miyahara, Ryoji

Search repository
Ishigami, Masatoshi

× Ishigami, Masatoshi

WEKO 93823

en Ishigami, Masatoshi

Search repository
Ando, Masahiko

× Ando, Masahiko

WEKO 93824

en Ando, Masahiko

Search repository
Hirooka, Yoshiki

× Hirooka, Yoshiki

WEKO 93825

en Hirooka, Yoshiki

Search repository
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 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
内容記述タイプ Abstract
内容記述
内容記述 ファイル公開:2020-07-01
言語 ja
内容記述タイプ Other
出版者
言語 en
出版者 Wiley
言語
言語 eng
資源タイプ
資源タイプresource http://purl.org/coar/resource_type/c_6501
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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