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Biliary Metal Stents Are Superior to Plastic Stents for Preoperative Biliary Decompression in Pancreatic Cancer by Christopher Decker; John D. Christein; Milind A. Phadnis; C. Mel Wilcox; Shyam Varadarajulu is a Medicine article available to read on EtoBox.
What is Biliary Metal Stents Are Superior to Plastic Stents for Preoperative Biliary Decompression in Pancreatic Cancer about?
## Background It is unclear whether plastic or metal stents are more suitable for preoperative biliary decompression in pancreatic cancer. The objective of this study was to compare the rate of endoscopic reinterventions in patients with pancreatic cancer undergoing plastic or self-expandable metal stent (SEMS) placements for preoperative biliary decompression. ## Methods This was a retrospective study of all patients with obstructive jaundice secondary to pancreatic head cancer who underwent their index endoscopic retrograde cholangiopancreatography (ERCP) and all follow-up biliary stent placements at our center before undergoing pancreaticoduodenectomy. Plastic or SEMS were placed at ERCP for biliary decompression. The main outcome measure was to compare the rate of endoscopic reinterventions between the plastic and SEMS cohorts. ## Results 29 patients who underwent pancreaticoduodenectomy had preoperative biliary stent placement (18 plastic, 11 SEMS) at our center. Whereas none of the 11 patients who underwent SEMS placement had stent dysfunction, 7 of 18 (39%) patients with plastic stents required endoscopic reintervention before surgery (__P__ = 0.02). Reinterventions were due
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- Author
- Christopher Decker; John D. Christein; Milind A. Phadnis; C. Mel Wilcox; Shyam Varadarajulu
- Publisher
- Springer; Springer-Verlag; Springer Verlag; Springer Science and Business Media LLC; Society for Mining, Metallurgy and Exploration Inc.; Springer Nature (ISSN 0930-2794)
- Published
- 2011
- Language
- EN
- Field
- Medicine (Health Sciences)