PMID- 37383628
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20230703
IS  - 2692-4609 (Electronic)
IS  - 2692-4609 (Linking)
VI  - 4
IP  - 1
DP  - 2024 Apr
TI  - Fully covered self-expandable metallic stents versus plastic stents for 
      preoperative biliary drainage in patients with pancreatic head cancer and the 
      risk factors for post-endoscopic retrograde cholangiopancreatography 
      pancreatitis.
PG  - e263
LID - 10.1002/deo2.263 [doi]
LID - e263
AB  - OBJECTIVES: Optimal stents for preoperative biliary drainage (PBD) for patients 
      with possible resectable pancreatic cancer remain controversial, and risk factors 
      for post-endoscopic retrograde cholangiopancreatography pancreatitis (PEP), 
      followed by PBD, are unknown. In this study, the efficacy and safety of fully 
      covered self-expandable metallic stents (FCSEMSs) and plastic stents (PSs) were 
      compared, and the risk factors for PEP, followed by PBD, were investigated for 
      patients with pancreatic cancer. METHODS: Consecutive patients with pancreatic 
      cancer who underwent PBD between April 2005 and March 2022 were included. We 
      retrospectively evaluated recurrent biliary obstruction, adverse events (AEs), 
      and postoperative complications for FCSEMS and PS groups and investigated the 
      risk factors for PEP. RESULTS: A total of 105 patients were included. There were 
      20 patients in the FCSEMS group and 85 patients in the PS group. For the FCSEMS 
      group, the rate of recurrent biliary obstruction (0% vs. 25%, p = 0.03) was 
      significantly lower. There was no difference in AE between the two groups. No 
      significant differences were observed in the overall postoperative complications, 
      but the volume of intraoperative bleeding was larger for the PS group than it was 
      for the FCSEMS group (p < 0.001). From multivariate analysis, being female and 
      lack of main pancreatic duct dilation were independent risk factors for 
      pancreatitis (odds ratio, 5.68; p = 0.028; odds ratio, 4.91; p = 0.048). 
      CONCLUSIONS: FCSEMSs are thought to be preferable to PSs for PBD due to their 
      longer time to recurrent biliary obstruction. Being female and the lack of main 
      pancreatic duct dilation were risk factors for PEP.
CI  - (c) 2023 The Authors. DEN Open published by John Wiley & Sons Australia, Ltd on 
      behalf of Japan Gastroenterological Endoscopy Society.
FAU - Kozakai, Fumisato
AU  - Kozakai F
AUID- ORCID: 0000-0002-5890-3531
AD  - Department of Gastroenterology Sendai City Medical Center Miyagi Japan.
FAU - Ogawa, Takahisa
AU  - Ogawa T
AUID- ORCID: 0000-0002-8934-6555
AD  - Department of Gastroenterology Sendai City Medical Center Miyagi Japan.
FAU - Koshita, Sinsuke
AU  - Koshita S
AUID- ORCID: 0000-0001-6880-5532
AD  - Department of Gastroenterology Sendai City Medical Center Miyagi Japan.
FAU - Kanno, Yoshihide
AU  - Kanno Y
AUID- ORCID: 0000-0002-2044-5483
AD  - Department of Gastroenterology Sendai City Medical Center Miyagi Japan.
FAU - Kusunose, Hiroaki
AU  - Kusunose H
AD  - Department of Gastroenterology Sendai City Medical Center Miyagi Japan.
FAU - Sakai, Toshitaka
AU  - Sakai T
AD  - Department of Gastroenterology Sendai City Medical Center Miyagi Japan.
FAU - Yonamine, Keisuke
AU  - Yonamine K
AD  - Department of Gastroenterology Sendai City Medical Center Miyagi Japan.
FAU - Miyamoto, Kazuaki
AU  - Miyamoto K
AD  - Department of Gastroenterology Sendai City Medical Center Miyagi Japan.
FAU - Anan, Hideyuki
AU  - Anan H
AD  - Department of Gastroenterology Sendai City Medical Center Miyagi Japan.
FAU - Okano, Haruka
AU  - Okano H
AD  - Department of Gastroenterology Sendai City Medical Center Miyagi Japan.
FAU - Hosokawa, Kento
AU  - Hosokawa K
AD  - Department of Gastroenterology Sendai City Medical Center Miyagi Japan.
FAU - Ito, Kei
AU  - Ito K
AD  - Department of Gastroenterology Sendai City Medical Center Miyagi Japan.
LA  - eng
PT  - Journal Article
DEP - 20230626
PL  - Australia
TA  - DEN Open
JT  - DEN open
JID - 9918317682706676
PMC - PMC10293702
OTO - NOTNLM
OT  - obstructive jaundice
OT  - pancreatic cancer
OT  - preoperative biliary drainage
OT  - self-expandable metallic stent
OT  - surgery
COIS- The authors declare no conflict of interest.
EDAT- 2023/06/29 13:42
MHDA- 2023/06/29 13:43
PMCR- 2023/06/26
CRDT- 2023/06/29 11:53
PHST- 2023/03/30 00:00 [received]
PHST- 2023/05/24 00:00 [revised]
PHST- 2023/06/12 00:00 [accepted]
PHST- 2023/06/29 13:43 [medline]
PHST- 2023/06/29 13:42 [pubmed]
PHST- 2023/06/29 11:53 [entrez]
PHST- 2023/06/26 00:00 [pmc-release]
AID - DEO2263 [pii]
AID - 10.1002/deo2.263 [doi]
PST - epublish
SO  - DEN Open. 2023 Jun 26;4(1):e263. doi: 10.1002/deo2.263. eCollection 2024 Apr.