Background: Biliary partially covered self-expandable metal stents (PC-SEMS) offer prolonged relief of
symptoms of biliary obstruction but may induce complications including pancreatitis, cholecystitis and
Aims: To assess efficacy and safety of the ComVi partially covered self-expandable metal stents as primary
palliative treatment of distal malignant biliary obstruction.
Methods: Seventy patients (mean age 69.2 years) with distal malignant biliary strictures were prospectively
included and underwent endoscopic retrograde cholangio-pancreatography and partially covered
self-expandable metal stents placement. Follow-up was done for 12 months. self-expandable metal stents
patency, survival and complication-rate after partially covered self-expandable metal stents placement
Results: Overall median survival time was 190 days (30–856). Forty-four patients (62.8%) died after
median 175.5 days (30–614) without signs of stent dysfunction; 37 patients (52.8%) were alive after
6 months without signs of self-expandable metal stents occlusion. Survival rapidly dropped between 8
and 12 months after treatment. Survival was not influenced by sex (P = 0.1) or type of neoplasia (P = 0.178).
Median survival was longer (254 days [44–836]) in patients who underwent chemotherapy (P < 0.0001).
Partially covered self-expandable metal stents occlusion had 24 (35.7%) patients 154 days (35–485) after
treatment. Median survival after re-treatment was 66 days (13–597). Cholecystitis occurred in one patient
Conclusions: The ComVi partially covered self-expandable metal stents is effective for palliation of biliary
obstruction secondary to distal malignant biliary strictures. Self-expandable metal stents patency during
follow-up is satisfactory without significant complications.