Current status and issues regarding biliary stenting in unresectable biliary obstruction.

Abstract

In the present review, we describe the current status of biliary stenting in patients with unresectable malignant biliary strictures. Self-expandable metallic stents (SEMS) are the ideal biliary stent for both distal and hilar biliary strictures, although in terms of distal biliary strictures, there is still some debate as to the selection of covered or uncovered SEMS, suprapapillary or transpapillary stent placement, side-by-side or stent-in-stent placement, unilateral or bilateral stent placement and the necessity for sphincterotomy. Further high-quality randomized controlled trials for these procedures are warranted.

• Authors: Takao Itoi, Atsushi Sofuni, Fumihide Itokawa, Ryosuke Tonozuka, Kentaro Ishii
• Journal: Digestive endoscopy : official journal of the Japan Gastroenterological Endoscopy Society (Dig Endosc) Vol. 25 Suppl 2 Pg. 63-70 (May 2013) ISSN: 1443-1661 [Electronic] Australia
• PMID: 23617652 (Publication Type: Journal Article, Review)
• Copyright: © 2013 The Authors. Digestive Endoscopy © 2013 Japan Gastroenterological Endoscopy Society.

Topics

• Bile Duct Neoplasms (complications, surgery)
• Cholangiopancreatography, Endoscopic Retrograde (methods)
• Cholestasis (etiology, surgery)
• Humans
• Palliative Care (methods)
• Prosthesis Design
• Stents