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However, temporary endoscopic nasobiliary drainage (ENBD) after SEMS insertion could also achieve short-term efficacy. Patients with ENBD but without dilation showed similar short-term outcome as compared to patients with dilation but without ENBD. CONCLUSIONS Dilation with small caliber balloon catheter before SEMS insertion is a safe and effective approach for MBO. Balloon dilation could improve the short-term efficacy of SEMES, while the long-term outcomes were not obviously affected. The short-term effect of stricture dilation coul
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