Best Practices in Pancreatico-biliary Stenting and EUS-guided Drainage

Abstract

Indications for endoscopic placement of endoluminal and transluminal stents have greatly expanded over time. Endoscopic stent placement is now a well-established approach for the treatment of benign and malignant biliary and pancreatic diseases (ie, obstructive jaundice, intra-abdominal fluid collections, chronic pancreatitis etc.). Ongoing refinement of technical approaches and development of novel stents is increasing the applicability and success of pancreatico-biliary stenting. In this review, we discuss the important developments in the field of pancreatico-biliary stenting, with a specific focus on endoscopic retrograde cholangiopancreatography and endoscopic ultrasound-associated developments.

Luminal and Extraluminal Applications of Endoscopic Stenting: A Bright Future for Gastroenterology

“…Technical description, efficacy, and safety of different techniques for drainage of pancreaticobiliary obstruction, pancreatic cyst ablation, gastric varices management, and gallbladder drainage can be found in this study. This review goes in line with previous studies, as well as the GRUPUGE guideline on EUS-guided biliary drainage [2][3][4].…”

“…Two review articles regarding luminal stenting are also included in this supplemental issue – one by Medas et al [ 3 ] focused on the description of current practice in luminal stenting for malignant and benign indications throughout the gastrointestinal tract, and other by Silva et al [ 8 ] focused on the technique and personal experience of esophageal stenting. Technical description, safety, and efficacy of esophageal, gastroduodenal, and colonic stenting are described in the first article, while the “How I do” article regarding esophageal stenting [ 8 ] addresses the characteristics of some of the currently available stents, offering an elaborated description of insertion delivery systems, techniques of placement, as well as some tips and tricks regarding placement and management of adverse events.…”