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Review
. 2023 Sep-Oct;36(5):490-496.
doi: 10.20524/aog.2023.0826. Epub 2023 Jul 25.

The perfect biliary plastic stent: the search goes on

Bianca Dinescu  1 , Theodor Voiosu  1   2 , Andreea Benguş  1   2 , Radu Bogdan Mateescu  1   2 , Mihail-Radu Voiosu  1 , Andrei Voiosu  1   2
Affiliations
Review

The perfect biliary plastic stent: the search goes on

Bianca Dinescu et al. Ann Gastroenterol. 2023 Sep-Oct.

Abstract

The introduction of biliary plastic stents has been a landmark achievement in the field of endoscopic retrograde cholangiopancreatography, ensuring minimally invasive and highly effective relief of the obstructed biliary system. Attempts to improve the patency and avoid complications after biliary plastic stenting have led to several innovations, but complications due to stent occlusion are still frequent. Because these complications are clinically relevant, and may guide stent choice and patient management, efforts have been made to elucidate the causes of and ways to prevent occlusion of indwelling stents. In this narrative review we focus on biliary plastic stents and discuss the mechanisms of stent occlusion, existing evidence on salient outcomes, as well as options to overcome existing limitations and prolong plastic stent patency.

Keywords: Obstructive jaundice; cholangitis; endoscopic retrograde cholangiopancreatography; stent.

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Conflict of interest statement

Conflict of Interest: None

Figures

Figure 1
Figure 1
Literature search strategy and results
Figure 2
Figure 2
Diagram illustrating basic shapes of common biliary plastic stents in use
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. Dumonceau JM, Tringali A, Blero D, et al. European Society of Gastrointestinal Endoscopy. Biliary stenting:indications, choice of stents and results:European Society of Gastrointestinal Endoscopy (ESGE) clinical guideline. Endoscopy. 2012;44:277–298. - PubMed
    1. Davids PH, Tanka AK, Rauws EA, et al. Benign biliary strictures. Surgery or endoscopy? Ann Surg. 1993;217:237–243. - PMC - PubMed
    1. Smith AC, Dowsett JF, Russell RC, Hatfield AR, Cotton PB. Randomised trial of endoscopic stenting versus surgical bypass in malignant low bileduct obstruction. Lancet. 1994;344:1655–1660. - PubMed
    1. Lawrence C, Romagnuolo J, Payne KM, Hawes RH, Cotton PB. Low symptomatic premature stent occlusion of multiple plastic stents for benign biliary strictures:comparing standard and prolonged stent change intervals. Gastrointest Endosc. 2010;72:558–563. - PubMed

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