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Plastic (Tube) Stent Drainage

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Advanced Therapeutic Endoscopy for Pancreatico-Biliary Diseases

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Abstract

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.

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Author information

Authors and Affiliations

  1. Division of Gastroenterology, Showa University Fujigaoka Hospital, 1-30 Fujigaoka, Aoba-ku, Yokohama, 227-8501, Japan

    Masatsugu Nagahama

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  1. Masatsugu Nagahama
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Editors and Affiliations

  1. Department of Internal Medicine, School of Medicine, University of Tokai, Isehara, Kanagawa, Japan

    Tetsuya Mine

  2. Sankikai Medical Corporation, Yokohama, Kanagawa, Japan

    Rikiya Fujita

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Nagahama, M. (2019). Plastic (Tube) Stent Drainage. In: Mine, T., Fujita, R. (eds) Advanced Therapeutic Endoscopy for Pancreatico-Biliary Diseases. Springer, Tokyo. https://doi.org/10.1007/978-4-431-56009-8_25

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  • DOI: https://doi.org/10.1007/978-4-431-56009-8_25

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