Year 2022 / Volume 114 / Number 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,

Abstract
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 %.
Share Button
New comment
Comments

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.


References
1.Barakat MT, Banerjee S. Sequential endoscopist-driven phone calls improve the capture rate of adverse events after ERCP: a prospective study Gastrointest Endosc 2021; 93: 902-910.e1. doi: 10.1016/j.gie.2020.07.036.
2.Pérez-Cuadrado Robles E, Lakhtakia S, Othman H, et al. A new biodegradable stent in bilio-pancreatic diseases: A prospective multi-center feasibility study. Rev Esp Enferm Dig 2022: . doi: 10.17235/reed.2022.8451/2021.
3. Odabasi M, Arslan C, Akbulut S, et al Long-term effects of forgotten biliary stents: a case series and literature review. Int J Clin Exp Med 2014; 7:2045-52.
4.Sohn SH, Park JH, Kim KH, et al. Complications and management of forgotten long-term biliary stents. World J Gastroenterol 2017; 23:622-628. doi: 10.3748/wjg.v23.i4.622.
5. Duman AE, Yılmaz H, Hülagü S. Biliary stents are forgotten more frequently in elderly patients. Turk J Med Sci 2021;51:3067-3072. doi: 10.3906/sag-2104-108.
6.Kumar S, Chandra A, Kulkarni R, et al. Forgotten biliary stents: ignorance is not bliss Surg Endosc. 2018; 32: 191-195. doi: 10.1007/s00464-017-5657-z.
7.Neuhaus H. Pancreatic stents in chronic pancreatitis: do they function as a tube, a wick, or a placebo? Gastrointest Endosc. 2006; 63: 67-70. doi: 10.1016/j.gie.2005.09.024.
8.García-Cano J, Taberna-Arana L. Temporary placement of biliary pigtail stents after uncertain common bile duct stones clearance in ERCP. United European Gastroenterology Journal 2016; 4(5S): A178.
9.Maieron A, Erhart L, Pramhofer P, et al. Reducing health care load during the Covid-19 pandemic: Biodegradable stents make follow-up endoscopies vanish. Endoscopy 2022; 54: S29. DOI 10.1055/s-0042-1744618
10. Siiki A, Vaalavuo Y, Antila A, et al. Biodegradable biliary stents preferable to plastic stent therapy in post-cholecystectomy bile leak and avoid second endoscopy. Scand J Gastroenterol 2018; 53:1-5.
11.Mohanka R, Rao P, Golhar A, Nikam V, et al. Archimedes absorbable internal biliary stent in liver transplants to prevent bile leak. Transplant Proc 2021; 53: 2923-2928. doi: 10.1016/j.transproceed.2021.09.020.
12.Anderloni A, Fugazza A, Maroni L, et al. New biliary and pancreatic biodegradable stent placement: a single-center, prospective, pilot study (with video). Gastrointest Endosc. 2020; 92: 405-411. doi: 10.1016/j.gie.2020.02.049.
13. Lee JH. How far have we come in the design of biliary stents: Are biodegradable stents ready for prime time? Gastrointest Endosc 2020; 92: 412-414. doi: 10.1016/j.gie.2020.04.013.
14.Ferreira MTGB, Ribeiro IB, de Moura DTH, et al. Stent versus balloon dilation for the treatment of dominant strictures in primary sclerosing cholangitis: A systematic review and meta-analysis. Clin Endosc 2021; 54: 833-842. doi: 10.5946/ce.2021.052.
15. Ponsioen CY, Lam K, van Milligen de Wit AW, Huibregtse K, Tytgat GN. Four years experience with short term stenting in primary sclerosing cholangitis. Am J Gastroenterol.1999; 94:2403-7. doi: 10.1111/j.1572-0241.1999.01364.x.
16. García-Cano J, Viñuelas Chicano M, Del Moral Martínez M, et al. Pancreatic stent insertion after an unintentional guidewire cannulation of the pancreatic duct during ERCP. Rev Esp Enferm Dig 2018 ;110: 416-420. doi: 10.17235/reed.2018.5230/2017.
Related articles
Citation tools
García-Cano J, de la Santa Belda E, Domper F. Use a biodegradable stent in ERCP and it will never be forgotten. 8926/2022


Download to a citation manager

Download the citation for this article by clicking on one of the following citation managers:

Metrics
This article has received 994 visits.
This article has been downloaded 231 times.

Statistics from Dimensions


Statistics from Plum Analytics

Publication history

Received: 12/05/2022

Accepted: 13/05/2022

Online First: 31/05/2022

Published: 07/09/2022

Article Online First time: 19 days

Article editing time: 118 days


Share
This article has been rated by 1 readers.
Reader rating:
Valora este artículo:




Asociación Española de Ecografía Digestiva Sociedad Española de Endoscopia Digestiva Sociedad Española de Patología Digestiva
The Spanish Journal of Gastroenterology is the official organ of the Sociedad Española de Patología Digestiva, the Sociedad Española de Endoscopia Digestiva and the Asociación Española de Ecografía Digestiva
Cookie policy Privacy Policy Legal Notice © Copyright 2023 y Creative Commons. The Spanish Journal of Gastroenterology