Antireflux covered metal stent for nonresectable distal malignant biliary obstruction: Multicenter randomized controlled trial.
Tsuyoshi HamadaHiroyuki IsayamaYousuke NakaiTakuji IwashitaYukiko ItoTsuyoshi MukaiHiroshi YagiokaTomotaka SaitoOsamu TogawaShomei RyozawaKenji HiranoSuguru MizunoNatsuyo YamamotoHirofumi KogureIchiro YasudaKazuhiko KoikePublished in: Digestive endoscopy : official journal of the Japan Gastroenterological Endoscopy Society (2019)
The current ARMS was not associated with longer TRBO compared with the covered SEMS. Modifications including addition of an anti-migration system are required to use the current ARMS as first-line palliative treatment of distal MBO (UMIN-CTR clinical trial registration number: UMIN000014784).