Plastic (Tube) Stent Drainage

  • Masatsugu Nagahama


Endoscopic biliary drainage using a plastic stent (PS) has been widely performed for endoscopic treatment of cholangitis and jaundice due to biliary obstruction. However, subsequent studies comparing PS and self-expandable metallic stent (SEMS) demonstrated the superiority of SEMS in the treatment of unresectable malignant biliary obstruction. Thus, good candidates for endoscopic biliary drainage with a PS are now considered to include emergency drainage for acute cholangitis, drainage for benign biliary stricture, temporary drainage for obstructive jaundice during diagnostic differentiation of benign from malignant lesions, and stent-in-stent placement for SEMS obstruction. On the other hand, a new effort to place a stent that is called “inside stent” has been reported. The “inside-stent” technique has recently been reported to be useful for the treatment of benign biliary stricture after hepatic transplantation and unresectable malignant hilar biliary obstruction. Future studies on the “inside-stent” technique are warranted.


Plastic stent EBS Inside stent 


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Copyright information

© Springer Japan KK, part of Springer Nature 2019

Authors and Affiliations

  • Masatsugu Nagahama
    • 1
  1. 1.Division of GastroenterologyShowa University Fujigaoka HospitalYokohamaJapan

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