Trans-papillary bilio-pancreatic stenting: When how and which stent

Area of Science:

• Gastroenterology and Hepatology
• Interventional Endoscopy

Background:

• Bilio-pancreatic stenting addresses common challenges including malignant and benign biliary stenosis, pancreatic duct stenosis in chronic pancreatitis, and prophylaxis of post-ERCP pancreatitis.
• Stenting is also crucial for managing complications like failed biliary stone extraction and after endoscopic papillectomy.

Purpose of the Study:

• To provide a practical approach to the indications and techniques for bilio-pancreatic stenting.
• To guide endoscopists in selecting appropriate stenting strategies for diverse clinical scenarios.

Main Methods:

• This review synthesizes current knowledge on bilio-pancreatic stenting.
• It focuses on practical aspects of indications and techniques for various endoscopic procedures.

Main Results:

• A thorough understanding of stenting indications and techniques is essential for effective patient management.
• Tailored approaches are necessary, considering the specific clinical scenario and patient needs.

Conclusions:

• The choice of stent (varying in diameter, length, and composition) is critical for personalized treatment in bilio-pancreatic stenting.
• Mastery of stenting techniques enables endoscopists to optimize outcomes for patients with biliary and pancreatic conditions.