Percutaneous transhepatic insertion of self-expanding short metal stents for biliary obstruction before resection of pancreatic or duodenal malignancy proves to be safe and effective

Abstract

Percutaneous insertion of short metal stents provides a safe and effective alternative to endoscopic stent placement for treating jaundice preoperatively in patients with potentially resectable tumors around the pancreatic head.

ACR Appropriateness Criteria® Radiologic Management of Biliary Obstruction

“…A meta-analysis comparing percutaneous versus endoscopic biliary drainage demonstrated no significant difference with regards to mortality, complications, or therapeutic response rates, making percutaneous biliary drainage a validated second-line therapy in these patients [109]. Alternatively, in patients who would otherwise be a candidate for endoscopic internal metallic stent placement, percutaneous placement of self-expanding stents has demonstrated safety and effectiveness similar to their endoscopically placed counterparts [110][111][112].…”

Peer Review #3 of "Identification of research trends concerning application of stent implantation in the treatment of pancreatic diseases by quantitative and biclustering analysis: a bibliometric analysis (v0.1)"

“…Manuscript to be reviewed 1 Table 5. The cluster analysis of 8 clusters Cluster Number of MeSH terms a Cluster analysis 23,34,56,58,69,72,79,82 Stents placement in pancreatic neoplasms 5,9,10,19,21,24,27,36,39,40,41 The complications of stents placement in bile duct neoplasms and pancreatic neoplasms 8,35,45,49,50,52,54,71,73,74,75,76 postoperative complications after stent placement such as pancreaticoduodenectomy 1,2,3,6,11,15,17,18,46,47,51,60,67,80 Stents for the prevention of pancreatic fistula following pancreaticoduodenectomy 12,13,14,22,28,37,48,61,65 Prophylactic pancreatic duct stent can reduce the incidence of post-ERCP pancreatitis (PEP) 4,…”

“…As an example, the covered metal stents reduce the incidence of complications of biliary obstruction caused by pancreatic cancer. It has been reported that percutaneous insertion of short metal stents supplies for a secure treatment, which is beneficial for patients in resectable pancreatic head cancer with jaundice [1]. With in-depth research, an irradiation pancreatic stent may provide longer patency and better patient survival [2].…”

Identification of research trends concerning application of stent implantation in the treatment of pancreatic diseases by quantitative and biclustering analysis: a bibliometric analysis

“…As an example, the covered metal stents reduce the incidence of complications of biliary obstruction caused by pancreatic cancer. It has been reported that percutaneous insertion of short metal stents supplies for a secure treatment, which is beneficial for patients in resectable pancreatic head cancer with jaundice (Briggs et al, 2010). With in-depth research, an irradiation pancreatic stent may provide longer patency and better patient survival (Zhu et al, 2018).…”