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Self-Expandable Stents in the Gastrointestinal Tract pp 141–157Cite as

Biliary and Pancreatic Stents: Indications and Placement Techniques

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Abstract

Placement of self-expandable metal stents (SEMS) has now become accepted for the relief of malignant obstruction of the biliary system, either preoperatively or palliatively. The advantage of SEMS over traditional plastic stents is the significant prolongation in patency. Available SEMS are uncovered, partially covered, and completely covered. Covered stents may have prolonged patency as compared to uncovered stents but, more importantly, do not imbed into tissue and thus are removable and have applications for benign disease. Applications of covered SEMS for benign biliary diseases include strictures, leaks closure of perforations, and treatment of postsphincterotomy bleeding. SEMS can be placed percutaneously or endoscopically; the latter is usually done at the time of ERCP, but endoscopic ultrasound guidance can also be used to place SEMS. Applications of SEMS in the pancreas are limited but evolving. This chapter will summarize the indications and techniques for placement of self-expandable metal stents in the biliary tree and for the treatment of pancreatic disease.

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Authors and Affiliations

  1. Center for Endoscopic Research and Therapeutics, Section of Gastroenterology, Department of Medicine, The University of Chicago Medical Center, 5758 South Maryland Avenue, MC 9028, Chicago, IL, 60637-1463, USA

    Wesley Leung M.D., Mariano Gonzalez-Haba Ruiz M.D. & Irving Waxman M.D.

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  1. Wesley Leung M.D.
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  2. Mariano Gonzalez-Haba Ruiz M.D.
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  3. Irving Waxman M.D.
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Correspondence to Irving Waxman M.D. .

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Editors and Affiliations

  1. , Virginia Mason Medical Center, Digestive Disease Institute, 1100 Ninth Ave, Seattle, 98111, Washington, USA

    Richard Kozarek

  2. , Division of Gastroenterology and Hepatol, Mayo Clinic College of Medicine, 200 First St. SW, Rochester, 55905, Minnesota, USA

    Todd Baron

  3. , Department of Radiology, Asan Medical Center, Pungnap-2Dong 388-1, Seoul, 138-736, Korea, Republic of (South Korea)

    Ho-Young Song

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Leung, W., Ruiz, M.GH., Waxman, I. (2013). Biliary and Pancreatic Stents: Indications and Placement Techniques. In: Kozarek, R., Baron, T., Song, HY. (eds) Self-Expandable Stents in the Gastrointestinal Tract. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-3746-8_10

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-3745-1

  • Online ISBN: 978-1-4614-3746-8

  • eBook Packages: MedicineMedicine (R0)

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