Management of strictures related to pancreaticobiliary disease continues to be an area of exploration and opportunity for treating both malignant and benign disease. Dilation and stenting of strictures helps patients maintain nutrition often while undergoing neoadjuvent treatment. This web page is intended to provide an venue to share clinical data, case studies and perspectives on biliary stenting from experts in the field to educate other physicians interested in advanced pancreaticobiliary disease management.
Presentations on Biliary Stricture Management
Video
Dr. Costamagna and Dr. Bruno discuss the one-year and three-year results of a large, multi-center trial to assess the efficacy of using fully covered metal stents in benign biliary strictures due to chronic pancreatitis.
Video
Five Gastroenterologists discuss their experiences treating strictures due to chronic pancreatitis, including the effectiveness of fully covered biliary metal stents.
Video
Treatment of Benign Strictures in the Esophagus, by Christer Staël von Holstein, MD
In this presentation, Dr. Christer Staël von Holstein discusses various types of treatment for benign esophageal strictures, including dilation and stenting options.
Video
Endotherapy for Benign Biliary Strictures Secondary to Chronic Pancreatitis, by Paul Tarnasky, MD
Dr. Paul Tarnasky presents an overview of benign biliary strictures due to chronic pancreatitis as well as treatment options and clinical data.
Video
Biliary Metal Stent Bridge-to-Surgery, by V. Raman Muthusamy, MD
Dr. Muthusamy reviews pancreatic cancer staging, patient selection criteria and bridge-to-surgery case studies.
Set-up and Use Tutorials
Video
CRE™ SteriFlate Disposable Inflation Device Set-up and Use Video Tutorial (U.S. Only)
The CRE SteriFlate Disposable Inflation Device is designed to inflate and deflate balloon dilatation catheters while monitoring and displaying inflation pressure. This video provides a step-by-step tutorial for the set-up and use of the inflation device.
Video
Alliance™ II Integrated Inflation & Lithotripsy Device Set-up and Use Video Tutorial
The Alliance II Integrated Inflation & Lithotripsy Device is used to inflate balloon dilatation catheters. This video provides a step-by-step tutorial for the set-up and use of the inflation device.
Case Studies
Video
WallFlex™ Biliary RX Stent In-service, by Thomas Kowalski, MD
Dr. Kowalski provides a step-by-step demonstration of set-up and deployment of a WallFlex Biliary RX Stent.
Video
Biliary Metal Stent Bridge-to-Surgery, by V. Raman Muthusamy, MD
Dr. Muthusamy reviews pancreatic cancer staging, patient selection criteria and bridge-to-surgery case studies.
Animations
Video
Procedural Animation: WallFlex Biliary RX Stent
This animation includes the steps for placement and deployment of a WallFlex Biliary RX Stent.
Video
Procedural Animation: Advanix™ Biliary Stent with NaviFlex™ RX Delivery System
This animation highlights the features of the Advanix Biliary Stent with NaviFlex™ RX Delivery System as well as the steps for placement and deployment.
Warning: The safety and effectiveness of biliary metal stents for use in the vascular system has not been established.
Results from case studies may vary. Results from case studies are not predictive of results in other case studies.
INDICATIONS FOR USE in the United States:
The WallFlex Biliary RX Fully Covered Stent System RMV is indicated for use in the palliative treatment of biliary strictures produced by malignant neoplasms, relief of malignant biliary obstruction prior to surgery and for indwell up to 12 months in the treatment of benign biliary strictures secondary to chronic pancreatitis.
LIMITATIONS
The sale, distribution, and use of the device are restricted to prescription use inaccordance with 21 CFR §801.109
Contraindications:
• The WallFlex Biliary RX Fully Covered Stent should not be placed in strictures that cannot be dilated enough to pass the delivery system, in a perforated duct, or in very small intrahepatic ducts.
• The WallFlex Biliary RX Fully Covered Stent System RMV should not be used in patients for whom endoscopic techniques are contraindicated.
Warnings: The safety and effectiveness of the stent has not been established for indwell periods exceeding 12 months. The WallFlex Biliary RX Fully Covered Stent System RMV is for single-use only. The safety and effectiveness of the WallFlex Biliary RX Fully Covered Stent System RMV for use in the vascular system has not been established. The safety and effectiveness of the WallFlex Biliary RX Fully Covered Stent System RMV has not been established in the treatment of benign biliary anastomotic strictures in liver transplant patients and benign biliary post abdominal surgery strictures. Testing of overlapped stents has not been conducted. The stent contains nickel, which may cause an allergic reaction in individuals with nickel sensitivity.
PLEASE REFER TO THE LABELING FOR A MORE COMPLETE LIST OF WARNINGS, PRECAUTIONS AND CONTRAINDICATIONS
Case Studies
ACCESS Magazine Clinical Data Update
Patient Education
CAUTION: U.S. Federal law restricts device to sale by or on the order of a physician.
CAUTION: The law restricts these devices to sale by or on the order of a physician. Indications, contraindications, warnings and instructions for use can be found in the product labeling supplied with each device. Information for the use only in countries with applicable health authority registrations. Material not intended for use in France.
All trademarks are the property of their respective owners.
For health care professionals in Europe:
Please note that the pages on this website are exclusively reserved for health care professionals in countries with applicable health authority product registrations. To the extent this site contains information, reference guides and databases intended for use by licensed medical professionals, such materials are not intended to offer professional medical advice. Prior to use, please consult device labeling for prescriptive information and operating instructions.
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