Endoscopic biliary sphincterotomy is not required for transpapillary SEMS placement for biliary obstruction.

Digestive Diseases and Sciences
Nikhil BanerjeeDouglas G Adler

Abstract

Endoscopic retrograde cholangiopancreatography with biliary self-expanding metal stent placement is the preferred method of providing biliary drainage for pancreaticobiliary malignancies. Some endoscopists routinely perform biliary sphincterotomy to facilitate biliary stent placement and potentially minimize pancreatitis with transpapillary self-expanding metal stent placement. Our hypothesis was that biliary sphincterotomy has no effect on the success rate of transpapillary self-expanding metal stent placement and increases procedure-related complications. In a retrospective analysis, outcomes of two groups were compared: (1) self-expanding metal stent placement without biliary sphincterotomy, (2) self-expanding metal stent placement with biliary sphincterotomy during the same procedure. Complications and stent patency rates were evaluated. There were 104 subjects included in the study. Post-sphincterotomy bleeding (p = 0.001) was associated with biliary sphincterotomy performed immediately prior to self-expanding metal stent placement. Importantly, self-expanding metal stent placement without biliary sphincterotomy was always technically successful and self-expanding metal stent placement without biliary sphincterotomy was no...Continue Reading

References

Mar 1, 1992·Gastrointestinal Endoscopy·S ShermanG A Lehman
May 1, 1991·Gastrointestinal Endoscopy·P B CottonN Nickl
Jan 1, 1996·Cardiovascular and Interventional Radiology·S A ThurnherR Wildling
Sep 26, 1996·The New England Journal of Medicine·M L FreemanA M Pheley
Jul 1, 1997·Journal of Vascular and Interventional Radiology : JVIR·S MiyayamaT Takashima
Feb 28, 2002·Gastrointestinal Endoscopy·Hiroyuki IsayamaMasao Omata
Apr 7, 2005·Gastrointestinal Endoscopy·Michel KahalehPaul Yeaton
Jan 27, 2006·The Cochrane Database of Systematic Reviews·A C MossP Mac Mathuna
Nov 28, 2006·Best Practice & Research. Clinical Gastroenterology·Grant R Caddy, Tony C K Tham
Nov 6, 2009·The American Journal of Gastroenterology·Milan T FolkersDouglas G Adler
Nov 6, 2009·Gastrointestinal Endoscopy·Michelle A AndersonJason A Dominitz

❮ Previous
Next ❯

Citations

Oct 21, 2011·Surgical Endoscopy·Kazumichi KawakuboKazuhiko Koike
Dec 3, 2014·Gastrointestinal Endoscopy Clinics of North America·Douglas G Adler
Dec 3, 2014·Gastrointestinal Endoscopy Clinics of North America·Tarun Rustagi, Priya A Jamidar
Nov 7, 2013·Current Gastroenterology Reports·Jennifer Maranki, Paul Yeaton
Jun 1, 2013·Clinical Journal of Gastroenterology·Ichiro Yasuda
Oct 2, 2013·Gastrointestinal Endoscopy Clinics of North America·Nisa M Kubiliun, B Joseph Elmunzer
Apr 2, 2013·Gastrointestinal Endoscopy Clinics of North America·Bryan Balmadrid, Richard Kozarek
Jun 21, 2011·Gastrointestinal Endoscopy Clinics of North America·Jeffrey H Lee
Apr 28, 2011·Gastrointestinal Endoscopy·Douglas G Adler, Todd H Baron
Mar 5, 2015·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Dennis Yang, Peter V Draganov
May 3, 2013·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Takao ItoiKentaro Ishii
Mar 23, 2013·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·C Mel WilcoxShyam Varadarajulu
May 3, 2013·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Takao ItoiAtsushi Sofuni
Dec 7, 2014·Gastrointestinal Endoscopy·Douglas G AdlerSachin Wani
Dec 5, 2015·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Aijaz Ahmed SofiWade M Lee
Jun 22, 2017·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·B Joseph Elmunzer
Jul 24, 2013·The American Journal of Gastroenterology·Anthony T DeBenedetPhilip S Schoenfeld
Aug 4, 2018·Revista Española De Enfermedades Digestivas : Organo Oficial De La Sociedad Española De Patología Digestiva·Fernando Alberca de Las ParrasJoaquín León Molina
Aug 11, 2017·Current Treatment Options in Gastroenterology·Vishal B Gohil, Jason B Klapman
Oct 17, 2014·World Journal of Gastroenterology : WJG·Pei-Jing CuiJun Yang
Dec 3, 2014·The American Journal of Gastroenterology·Douglas G AdlerSachin Wani
Mar 28, 2012·Current Opinion in Gastroenterology·Matthew E Feurer, Douglas G Adler
Aug 16, 2021·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Shin KatoTakao Itoi

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.