Año 2022 / Volumen 114 / Número 9
Editorial
Use a biodegradable stent in ERCP and it will never be forgotten

513-515

DOI: 10.17235/reed.2022.8926/2022

Jesús García-Cano, Eva de la Santa Belda, Francisco Domper,

Resumen
The easiest way to drain the bile duct or the main pancreatic duct by means of ERCP is the insertion of a plastic stent. Once cannulation has been achieved, which is generally the most complex and limiting step in ERCP, stent insertion is straightforward and rewarding. The main problem in benign pancreato-biliary conditions comes in the follow-up. Indications for biliary stent insertion in non-neoplastic diseases are common bile duct (CBD) stones that could not be completely extracted, benign strictures and leaks. In the pancreas stents are frequently inserted to prevent post-ERCP pancreatitis and for benign strictures and other less frequent conditions such as main pancreatic duct disruption. Currently in all centers more and more ERCPs are performed in patients without naive Papilla of Vater, generally for stent extraction or exchange. For example, in the recent study by Barakat and Banerjee, carried out in a tertiary care academic medical center, only 25% were index or initial ERCP, without previous sphincterotomy or stent, and subsequent procedures comprised the remaining 75 %.
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Comentarios

07/12/2022 11:27:47
Dear Garcia-Cano et al,
This is a very nice clinical experience overview of biodegradable stents in pancreatobiliary indication including the evaluation of risks and related complications on forgotten plastic stents.


Bibliografía
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García-Cano J, de la Santa Belda E, Domper F. Use a biodegradable stent in ERCP and it will never be forgotten. 8926/2022


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Recibido: 12/05/2022

Aceptado: 13/05/2022

Prepublicado: 31/05/2022

Publicado: 07/09/2022

Tiempo de prepublicación: 19 días

Tiempo de edición del artículo: 118 días


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