Stent-induced symptomatic pancreatic duct stricture after endoscopic prophylactic pancreatic duct stent placement for the normal pancreas

Clinical practice guidelines for endoscopic papillectomy

“…125 Therefore, the duration of stent placement should be kept as short as possible. 125 In addition, it has been reported that APC cauterization during EP did not increase the incidence of papillary stenosis. 85 Statement 5-3:…”

“…51,124 However, pancreatic stent placement for a normal pancreas has been reported to cause pancreatic duct stenosis. 125 Therefore, the duration of stent placement should be kept as short as possible. 125 In addition, it has been reported that APC cauterization during EP did not increase the incidence of papillary stenosis.…”

“…Pancreatic stent placement during EP is a preventive procedure that tends to reduce the incidence of pancreatic stenosis 51,124 . However, pancreatic stent placement for a normal pancreas has been reported to cause pancreatic duct stenosis 125 . Therefore, the duration of stent placement should be kept as short as possible 125 .…”

Acute Pancreatitis after Biliary and Pancreatic Stent Removal with a Forward-Viewing Endoscope

“…Given the time lag of 2 months before stent removal in this case, there was concern about stent-induced symptomatic pancreatic duct stricture [ 6 ]. This is reported to occur in 2.4% of patients with normal pancreases after a median stent placement of 7 days and to require total pancreatectomy in severe cases [ 7 ]. However, subsequent magnetic resonance cholangiopancreatography showed no stricture in our case, and symptoms resolved in 2 h. We did use a 5-cm pancreatic stent, although a 3-cm stent has been shown to be preferable [ 8 ].…”

No flare(s), no problem: treating recalcitrant pancreatic duct strictures with short fully covered metal stents

“…Perhaps most importantly in the study, no de novo strictures associated with stent placement occurred, which has previously been an unfortunate adverse event of both plastic and metal stents that is difficult to manage. 9 This may be related to the relatively short period before stent removal, and studies are needed to see whether longer indwell times (ie, 6 months, as in biliary stents) will be associated with stent-associated strictures but possibly more durable resolution of stenoses.…”