Work

Toward a “dream” stent for malignant biliary obstruction: one that allows patients—and endoscopists—to sleep soundly at night

Year: 2026

Type: article

Abstract: Endoscopic decompression for distal malignant biliary obstruction (DMBO) remains a cornerstone of care to relieve jaundice, facilitate systemic therapy, and reduce infectious adverse events.1 Although studies have demonstrated that fully covered self-expandable metal stents (FCSEMSs) with antimigration mechanisms can prevent stent migration in benign biliary strictures,2 their efficacy for relieving DMBO remains unclear.3,4 FCSEMSs may provide longer patency and require fewer unplanned exchanges than plastic stents; however, stent migration remains a significant issue, compromising clinical durability and potentially causing recurrent biliary obstruction (RBO), repeat procedures, and interruptions in oncologic treatment.

Source: Gastrointestinal Endoscopy

DOI: 10.1016/j.gie.2026.02.034

Author: Do Hyun Park

Institutions: Asan Medical Center, University of Ulsan

Language: English

Topic: Gallbladder and Bile Duct Disorders

Subfield: Pulmonary and Respiratory Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: hybrid

Estimated APC paid: $3,450