Abstract
Endoscopic stenting is an effective treatment option in the management of both benign biliary strictures and pancreatic ductal strictures. Plastic stents and self-expandable metal stents have been used with variable success for the management of both benign biliary strictures and pancreatic ductal strictures caused by chronic pancreatitis. Fully covered self-expandable metal stents of improved design represent a major technological advance which has added to the endoscopic armamentarium. Both multiple plastic stents and covered self-expandable metal stents have shown promising results. However, data to support the use of self-expandable metal stents over multiple plastic stents or vice versa are still lacking.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Geenen DJ, Geenen JE, Hogan WJ, et al. Endoscopic therapy for benign bile duct strictures. Gastrointest Endosc. 1989;35:367–71.
Deviere J, Daviere S, Baize M, et al. Endoscopic biliary drainage in chronic pancreatitis. Gastrointest Endosc. 1990;36:96–100.
Smits ME, Rauws EA, van Gulik TM, et al. Long term results of endoscopic stenting and surgical drainage for biliary strictures due to chronic pancreatitis. Br J Surg. 1996;83:764–8.
Eickhoff A, Jakobs R, Leonhardt A, et al. Endoscopic stenting for common bile duct stenoses in chronic pancreatitis: results and impact on long term outcome. Eur J Gastroenterol Hepatol. 2001;13:1161–7.
Gupta R, Rao GV, Reddy DN. Benign biliary stricture – should they be dilated or treated surgically? Indian J Gastroenterol. 2006;25:202–5.
Costamagna G, Pandolfi M, Mutignant M, et al. Long term results of endoscopic management of postoperative bile duct strictures with increasing numbers of stents. Gastrointest Endosc. 2001;54:162–8.
Dragnov P, Hoffman B, Marsh W, et al. Long term outcome in patients with benign biliary strictures treated endoscopically with multiple stents. Gastrointest Endosc. 2002;55:680–6.
Catalano MF, Linder JD, George S, et al. Treatment of symptomatic distal common bile duct stenosis secondary to chronic pancreatitis: comparison of single vs. multiple simultaneous stents. Gastrointest Endosc. 2004;60:945–52.
Dumonceau JM, Deviere J, Delhaye M, et al. Plastic and metal stents for post operative benign bile duct strictures; the best and the worst. Gastrointest Endosc. 1998;47:8–17.
Cantu P, Hookey LC, Morales A, et al. The treatment of patients with symptomatic common bile duct stenosis secondary to chronic pancreatitis using partially covered metal stents: a pilot study. Endoscopy. 2005;37:735–9.
Deviere J, Cremer M, Baize M, et al. Management of common bile duct stricture caused by chronic pancreatitis with metal mesh self expandable stents. Gut. 1994;35:122–6.
Kahalesh M, Behm B, Clarke BW, et al. Temporary placement of covered self expandable metal stents in benign biliary strictures: a new paradigm? (with video). Gastrointest Endosc. 2008;67:446–54.
Mahajan A, Ho H, Sauer B, et al. Temporary placement of fully covered self-expandable metal stents in benign biliary strictures: mid term evaluation (with videos). Gastrointest Endosc. 2009;70:303–9.
Sauer BG, Regan KA, Srinivasan I, et al. Temporary placement of covered self- expandable metal stents (SEMS) in benign biliary strictures (BBS): eight years of experience. Gastrointest Endosc. 2010;71:AB110–1.
van Boeckel PG, Vleggaar FP, Siersema PD, et al. Plastic or metal stents for benign extrahepatic biliary strictures: a systematic review. BMC Gastroenterol. 2009;17(9):96.
Binmoeller KF, Jue P, Seifert H, et al. Endoscopic pancreatic stent drainage in chronic pancreatitis and a dominant stricture: long term results. Endoscopy. 1995;27:638–44.
Cremer M, Deviere J, Delhaye M, et al. Stenting in severe chronic pancreatitis: results of medium term followup in seventy six patients. Endoscopy. 1991;23:171–6.
Smits ME, Badiga SM, Rauws EA, et al. Long term results of pancreatic stents in chronic pancreatitis. Gastrointest Endosc. 1995;42:461–7.
Costamagna G, Bulajic M, Tringali A, et al. Multiple stenting of refractory pancreatic duct strictures in severe chronic pancreatitis: long term results. Endoscopy. 2006;38:254–9.
Eisendrath P, Deviere J. Expandable metal stents for benign pancreatic duct obstruction. Gastrointest Endosc Clin N Am. 1999;9:547–54.
Park do H, Kim MH, Moon SH, et al. Feasibility and safety of placement of a newly designed, fully covered self expandable metal stent for refractory benign pancreatic ductal strictures: a pilot study (with video). Gastrointest Endosc. 2008;68:1182–9.
Moon SH, Kim MH, Park DH, et al. Modified fully covered self-expandable metal stents with antimigration features for benign pancreatic duct strictures in advanced chronic pancreatitis, with a focus on the safety and reducing migration. Gastrointest Endosc. 2010;72:86–91.
Sauer B, Talreja J, Ellen K, et al. Temporary placement of a fully covered self expandable metal stent in the pancreatic duct for management of symptomatic refractory chronic pancreatitis: preliminary data (with videos). Gastrointest Endosc. 2008;68:1173–8.
Author information
Authors and Affiliations
Corresponding author
About this article
Cite this article
Gupta, R., Reddy, D.N. Stent selection for both biliary and pancreatic strictures caused by chronic pancreatitis: multiple plastic stents or metallic stents?. J Hepatobiliary Pancreat Sci 18, 636–639 (2011). https://doi.org/10.1007/s00534-011-0405-6
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00534-011-0405-6