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Endoscopic Stents for the Biliary Tree and Pancreas

  • Endoscopy (P Siersema, Section Editor)
  • Published:
Current Treatment Options in Gastroenterology Aims and scope Submit manuscript

Opinion statement

Purpose of review

To review the recently published literature on biliary and pancreatic stents.

Recent findings

Covered self-expanding metal stents (SEMS) are increasingly being used in the endoscopic management of benign biliary strictures. Given the costs associated with SEMS, plastic stents are still the most commonly used stents. In this setting, SEMS are preferred over plastic stents for palliation of malignant biliary strictures due to superior patency and have a role in preoperative management of malignant biliary strictures. While plastic stents are predominantly used for management of pancreatic strictures, newer endoscopic ultrasound (EUS)-guided lumen-apposing SEMS have been increasingly used in management of pancreatic fluid collections. EUS-guided SEMS also enable safe transmural drainage of gall bladder and bile ducts in benign and malignant conditions.

Summary

Endoscopic management is the first line treatment for multiple pancreatobiliary disorders. EUS-guided interventions have widened the scope of endoscopic management and decreased the need for surgical intervention. Further studies are needed to determine the safety and cost effectiveness of SEMS in benign pancreatic disorders.

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Authors and Affiliations

  1. Virginia Mason Medical Center, Digestive Diseases Institute, Seattle, WA, USA

    Rajesh Krishnamoorthi MD & Richard Kozarek MD

  2. Department of Gastroenterology, University of Nevada School of Medicine, Las Vegas, USA

    Mahendran Jayaraj MD

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  2. Mahendran Jayaraj MD
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  3. Richard Kozarek MD
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Correspondence to Richard Kozarek MD.

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Rajesh Krishnamoorthi declares that he has no conflict of interest. Mahendran Jayaraj declares that he has no conflict of interest. Richard Kozarek declares that he has no conflict of interest.

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This article does not contain any studies with human or animal subjects performed by any of the authors.

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This article is part of the Topical Collection on Endoscopy

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Krishnamoorthi, R., Jayaraj, M. & Kozarek, R. Endoscopic Stents for the Biliary Tree and Pancreas. Curr Treat Options Gastro 15, 397–415 (2017). https://doi.org/10.1007/s11938-017-0139-x

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