PMID- 22752885
OWN - NLM
STAT- MEDLINE
DCOM- 20130308
LR  - 20120828
IS  - 1438-8812 (Electronic)
IS  - 0013-726X (Linking)
VI  - 44
IP  - 9
DP  - 2012 Sep
TI  - Covered self-expanding metal stent use in the pancreatic duct: a case series.
PG  - 869-73
LID - 10.1055/s-0032-1309835 [doi]
AB  - Plastic stents have been used in the pancreatic duct for a variety of 
      indications. However, unlike in the bile duct, the use of covered self-expanding 
      metal stents (CSEMSs) has been discouraged because multiple side branches drain 
      into main pancreatic duct (MPD) and the ductal diameter is relatively small. This 
      report aims to describe our experience using CSEMSs in the pancreatic duct in a 
      series of nine patients, with special focus on adverse events. Indications were 
      strictures (n = 5), intraductal mucinous neoplasm (IMPN; n = 1), pancreatic duct 
      leak (n = 1), disconnected duct syndrome (n = 1), and severe acute 
      pancreatitis/necrosis with disrupted duct (n = 1). Eight patients had symptomatic 
      improvement, or radiological resolution of or improvement in their strictures, 
      leaks, perforation, and necrosis. Two of these have indwelling CSEMSs for ongoing 
      treatment. One patient (disconnected duct syndrome) was considered a treatment 
      failure as the stent migrated and the patient underwent distal pancreatectomy for 
      refractory pain. Two patients underwent pancreaticoduodenectomy for their 
      malignancies after their CSEMSs had been in place for 43 and 49 days, 
      respectively. Importantly no patients, including those with indwelling CSEMSs, 
      developed stent-related acute pancreatitis with a median follow-up of 4 months. 
      One patient developed post-procedure pain requiring hospitalization for 1 day. 
      Median stent duration was 77 days. These observations suggest there is a 
      potential role for the use of CSEMSs in the MPD in selected patients with 
      pancreatic pathology.
CI  - (c) Georg Thieme Verlag KG Stuttgart . New York.
FAU - Akbar, A
AU  - Akbar A
AD  - Division of Gastroenterology & Hepatology, Mayo Clinic, Rochester, Minnesota, 
      USA.
FAU - Baron, T H
AU  - Baron TH
LA  - eng
PT  - Journal Article
DEP - 20120702
PL  - Germany
TA  - Endoscopy
JT  - Endoscopy
JID - 0215166
SB  - IM
MH  - Abdominal Pain/etiology
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Constriction, Pathologic/etiology/therapy
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Pancreatic Diseases/complications/surgery/*therapy
MH  - Pancreatic Ducts
MH  - Prosthesis Failure
MH  - Stents/*adverse effects
EDAT- 2012/07/04 06:00
MHDA- 2013/03/09 06:00
CRDT- 2012/07/04 06:00
PHST- 2012/07/04 06:00 [entrez]
PHST- 2012/07/04 06:00 [pubmed]
PHST- 2013/03/09 06:00 [medline]
AID - 10.1055/s-0032-1309835 [doi]
PST - ppublish
SO  - Endoscopy. 2012 Sep;44(9):869-73. doi: 10.1055/s-0032-1309835. Epub 2012 Jul 2.