Abstract
Stents cannulating the common bile duct and/or the pancreatic duct are frequently used during endoscopic retrograde cholangiopancreatography in both temporary and definitive management of several conditions. While plastic stents have a high risk of occlusion within a few months, metal stents have larger diameters and may, therefore, last longer. However, they tend to have a higher initial cost and once placed, tend to be more difficult to manipulate or remove. Emerging data are now showing that the removal of covered self-expandable metal stents can be achieved relatively easily without the risks of major complications. This review article investigates the indications and complications for stent insertion, as well as the recommended type of stent for each indication.
Highlights
Gastroenterology Department, Mater dei Hospital, Tal Qroqq, Malta were treated successfully with repeat stenting and resolved without further sequelae
The search results were narrowed down to 323 articles dealing with endoscopic treatment and Endoscopic retrograde cholangiopancrem atography (ERCP) stenting of the biliary obstruction
Ily without the risks of major complications. In strictures affecting both left and right hila, Overall, there is no significant difference in an analysis on the safety and outcome of unilateral stenting of only one duct system is the cost between metal and plastic stents, removal of fully covered SEMS during ERCP, necessary
Summary
Gastroenterology Department, Mater dei Hospital, Tal Qroqq, Malta were treated successfully with repeat stenting and resolved without further sequelae.
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