The product is designed to drain obstructed billary ducts. The instrument is supplied as germ free and is disposable. It is meant for one time usage. With this set a positioning sleeve is also included which is used to cave in the duodenal flap on the stent to assist introduction into the endoscope channel.In one case, a 52-year-old patient presented with itching and
progressive impairment of cholestasis six months after LT for HCV
cirrhosis performed at our center. An anastomotic biliary stricture
was suggested by magnetic resonance cholangiography. During
ERCP, a tight stricture was confirmed. A dilation with a 4-mm
hydrostatic balloon catheter was performed and a single 10-French
plastic stent placed across the anastomosis. In a few weeks, the
itching resolved and the cholestasis markedly improved. Therefore,
as it is our common practice, we
performed endoscopic multi-stenting therapy, in which we
progressively increase the number of plastic stents placed side-byside across the stricture every three months for one year. The Fusion
System was used (Fig 1 and 2) and our patient was successfully
treated with no recurrence of itching and cholestasis.
Endoscopic therapy consists of placing a single plastic stent across
the anastomosis as the first step, and then multi-stenting for one year
with stent exchanges at three-month intervals to prevent clogging