Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2016 Feb 10;8(3):143-56.
doi: 10.4253/wjge.v8.i3.143.

Biliary and pancreatic stenting: Devices and insertion techniques in therapeutic endoscopic retrograde cholangiopancreatography and endoscopic ultrasonography

Benedetto Mangiavillano  1 , Nico Pagano  1 , Todd H Baron  1 , Monica Arena  1 , Giuseppe Iabichino  1 , Pierluigi Consolo  1 , Enrico Opocher  1 , Carmelo Luigiano  1
Affiliations
Review

Biliary and pancreatic stenting: Devices and insertion techniques in therapeutic endoscopic retrograde cholangiopancreatography and endoscopic ultrasonography

Benedetto Mangiavillano et al. World J Gastrointest Endosc. .

Abstract

Stents are tubular devices made of plastic or metal. Endoscopic stenting is the most common treatment for obstruction of the common bile duct or of the main pancreatic duct, but also employed for the treatment of bilio-pancreatic leakages, for preventing post- endoscopic retrograde cholangiopancreatography pancreatitis and to drain the gallbladder and pancreatic fluid collections. Recent progresses in techniques of stent insertion and metal stent design are represented by new, fully-covered lumen apposing metal stents. These stents are specifically designed for transmural drainage, with a saddle-shape design and bilateral flanges, to provide lumen-to-lumen anchoring, reducing the risk of migration and leakage. This review is an update of the technique of stent insertion and metal stent deployment, of the most recent data available on stent types and characteristics and the new applications for biliopancreatic stents.

Keywords: Biliary stent; Endoscopic retrograde cholangiopancreatography; Endoscopic ultrasonography; Pancreatic stent; Self-expandable metal stent.

PubMed Disclaimer

Figures

Figure 1
Figure 1
A display of different types of biliary plastic stents available.
Figure 2
Figure 2
A display of different types of biliary self-expandable metal stents available. The Evolution (A) uncovered stent, Cook Endoscopy, the Wallflex (B) partially covered stent, Boston Scientific, and the SHC (C) fully covered stent, Hanaro MI Tech.
Figure 3
Figure 3
The Viabil (A) fully covered stent, Gore Medical, and the Wallflex (B) fully covered stent, Boston Scientific.
Figure 4
Figure 4
The Bumpy Niti-S stent (A), Taewoong Medical and The BCT stent (B), Hanaro MI Tech.
Figure 5
Figure 5
The BPE stent (A), Hanaro MI Tech, and the Giobor Niti-S stent (B), Taewoong Medical.
Figure 6
Figure 6
A display of different types of lumen apposing metal stents available: The AXIOS (A) stent, Boston Scientic, the Spaxus (B) and NAGI (C) Niti-S stents, Taewoong Medical, the Aix (D) stent, Leufen Medical, and the BCF (E) stent, Hanaro MI Tech.
Figure 7
Figure 7
A display of different types of pancreatic plastic stents available.
Figure 8
Figure 8
Traditional transluminal endoscopic drainage of pancreatic fluid collections. PFC: Pancreatic fluid collections.
See this image and copyright information in PMC

References

    1. Soehendra N, Reynders-Frederix V. Palliative bile duct drainage - a new endoscopic method of introducing a transpapillary drain. Endoscopy. 1980;12:8–11. - PubMed
    1. Cotton PB. Duodenoscopic placement of biliary prostheses to relieve malignant obstructive jaundice. Br J Surg. 1982;69:501–503. - PubMed
    1. Huibregtse K, Haverkamp HJ, Tytgat GN. Transpapillary positioning of a large 3.2 mm biliary endoprosthesis. Endoscopy. 1981;13:217–219. - PubMed
    1. Neuhaus H, Hagenmüller F, Classen M. Self-expanding biliary stents: preliminary clinical experience. Endoscopy. 1989;21:225–228. - PubMed
    1. Huibregtse K, Cheng J, Coene PP, Fockens P, Tytgat GN. Endoscopic placement of expandable metal stents for biliary strictures--a preliminary report on experience with 33 patients. Endoscopy. 1989;21:280–282. - PubMed