Abstract
Symptomatic main pancreatic duct (MPD) strictures secondary to chronic pancreatitis (CP) may benefit from endoscopic insertion of single or multiple plastic stents. MPD stricture resolution after single plastic stent removal is uncommon. The use of removable fully covered, self-expandable metal stents (FC-SEMSs) to dilate MPD strictures secondary to CP was evaluated. Patients with CP and symptomatic MPD stricture located in the head of the pancreas persisting for 3 months or more after placement of a single plastic stent were enrolled in a prospective single-arm trial. A nitinol FC-SEMS was inserted and removed after 6 months. The FC-SEMS diameter and length were chosen according to the stricture anatomy and MPD diameter above the stricture. Our primary objective was FC-SEMS removability. Secondary outcomes were MPD stricture resolution rate and adverse events. Between December 2012 and October 2014, 15 patients (10 male, mean age 60 years) were enrolled. Pancreatic calcifications were present in 6 (40%) patients. Four patients (27%) had a history of alcohol abuse. In 10 patients, the FC-SEMS was inserted through the major papilla, whereas 5 patients (3 pancreas divisum, 2 dominant dorsal duct) received the stent through the mi...Continue Reading
Citations
Jun 1, 2019·European Journal of Gastroenterology & Hepatology·Tomotaka SaitoKazuhiko Koike
Jan 5, 2020·Journal of Gastroenterology and Hepatology·Ting-Ting LiChun-Hui Wang
Mar 21, 2020·Scandinavian Journal of Surgery : SJS : Official Organ for the Finnish Surgical Society and the Scandinavian Surgical Society·R ValenteJ-M Löhr
Mar 21, 2020·Scandinavian Journal of Surgery : SJS : Official Organ for the Finnish Surgical Society and the Scandinavian Surgical Society·M UddA Kokkola
Jul 11, 2020·Journal of Gastroenterology and Hepatology·Tiing Leong Ang
Mar 7, 2019·The Korean Journal of Internal Medicine·Chang-Il KwonGlen A Lehman
Mar 29, 2019·World Journal of Gastrointestinal Endoscopy·Raffaele SalernoSandro Ardizzone
Jun 27, 2019·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Atsushi IrisawaKazuo Inui
Mar 25, 2019·Scandinavian Journal of Gastroenterology·Taija KorpelaLeena Kylänpää
Dec 4, 2020·Revista Española De Enfermedades Digestivas : Organo Oficial De La Sociedad Española De Patología Digestiva·Juan J Vila, Federico Bolado
Mar 7, 2021·Journal of Gastroenterology and Hepatology·Tomotaka SaitoKazuhiko Koike
Mar 10, 2021·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Zaheer Nabi, Sundeep Lakhtakia
May 5, 2021·Pancreatology : Official Journal of the International Association of Pancreatology (IAP) ... [et Al.]·Aijaz Ahmed SofiJohn Vargo
Jun 29, 2021·Disease-a-month : DM·Rupinder MannShreyas Saligram
Aug 4, 2021·Scientific Reports·Sang Hoon LeeSeungmin Bang
Jun 14, 2019·Visceral Medicine·Alexander WaldthalerJ-Matthias Löhr