Basic Study
Copyright ©The Author(s) 2016. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Aug 14, 2016; 22(30): 6917-6924
Published online Aug 14, 2016. doi: 10.3748/wjg.v22.i30.6917
Evaluation of anti-migration properties of biliary covered self-expandable metal stents
Kosuke Minaga, Masayuki Kitano, Hajime Imai, Yogesh Harwani, Kentaro Yamao, Ken Kamata, Takeshi Miyata, Shunsuke Omoto, Kumpei Kadosaka, Toshiharu Sakurai, Naoshi Nishida, Masatoshi Kudo
Kosuke Minaga, Masayuki Kitano, Hajime Imai, Yogesh Harwani, Kentaro Yamao, Ken Kamata, Takeshi Miyata, Shunsuke Omoto, Kumpei Kadosaka, Toshiharu Sakurai, Naoshi Nishida, Masatoshi Kudo, Department of Gastroenterology and Hepatology, Kindai University Faculty of Medicine, Osaka-Sayama 589-8511, Japan
Author contributions: All authors helped to perform the research; Kitano M and Kudo M drafted conception and design; Minaga K and Kitano M performed the experiments, analyzed the data, and wrote the manuscript; Imai H, Harwani Y, Yamao K, Kamata K, Miyata T, Omoto S, Kadosaka K, Sakurai T, Nishida N and Kudo M contributed to writing the manuscript.
Supported by Japan Society for the Promotion of Science and the Japanese Foundation for the Research and Promotion of Endoscopy, No. 22590764 and No. 25461035.
Institutional review board statement: This study was approved by the Institutional Review Board of Kindai University Faculty of Medicine.
Conflict-of-interest statement: All authors declare no conflicts-of-interest related to this article.
Data sharing statement: No additional data are available.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Masayuki Kitano, MD, PhD, Department of Gastroenterology and Hepatology, Kindai University Faculty of Medicine, 377-2 Ohno-Higashi, Osaka-Sayama 589-8511, Japan. m-kitano@med.kindai.ac.jp
Telephone: +81-72-3660221 Fax: +81-72-3672880
Received: February 17, 2016
Peer-review started: February 19, 2016
First decision: March 31, 2016
Revised: April 4, 2016
Accepted: April 15, 2016
Article in press: April 15, 2016
Published online: August 14, 2016
Core Tip

Core tip: Ability of prevention of migration is very important to improve the results of covered self-expandable metal stents (C-SEMSs) for biliary stricture. This study aims to assess the anti-migration potential of six C-SEMSs by using a newly designed phantom model which allows the resistance force to migration (RFM) measurement of the stents. We found that RFM and radial force correlated strongly when the stent had not fully expanded. Once fully expanded, stent flare structure variables affected the anti-migration property of the stent. We concluded that several stent properties, including radial force and flare structure should be considered when selecting C-SEMS.