Value of pancreatic stent placement for endoscopic resection of duodenal papilla adenoma

Abstract

Objective To assess the application value of pancreatic stent placement for endoscopic resection of duodenal major papilla adenoma. Methods A total of 67 cases of duodenal major papilla adenoma that were confirmed by biopsy and underwent endoscopic papillectomy from August 2007 to July 2016 in endoscopy center of Drum Tower Hospital of Nanjing were analyzed retrospectively. There were 50 patients treated with pancreatic stent placement and 17 patients without as the control group. The general information, efficacy and complications of two groups were collected at the same time. Results There were no significant differences in gender(P=0.070), age(P=0.151) or tumor size(P=0.136) between pancreatic stent placement group and the control group. There were no statistical differences in en bloc resection rates or complete resection rates between the two groups. And there were no significant differences in short-term complications of bleeding(P=0.428), pancreatitis(P=0.982), cholangitis(P=1.000), perforation(P=1.000)or long-term complications of distal common pancreatic duct stricture between the two groups. Conclusion Pancreatic stent should not be routinely placed in endoscopic papillectomy, and should be considered for specific cases. Key words: Duodenum; Adenoma; Therapeutic endoscopy; Pancreatic stent placement; Complication