Pancreatic duct stents

J Dig Dis. 2022 Dec;23(12):675-686. doi: 10.1111/1751-2980.13158. Epub 2023 Mar 9.

Abstract

Pancreatic duct stenting using endoscopy or surgery is widely used for the management of benign and malignant pancreatic diseases. Endoscopic pancreatic stents are mainly used to relieve pain caused by chronic pancreatitis and pancreas divisum, and to treat pancreatic duct disruption and stenotic pancreaticointestinal anastomosis after surgery. They are also used to prevent postendoscopic retrograde cholangiopancreatography pancreatitis and postoperative pancreatic fistula, treat pancreatic cancer, and locate radiolucent stones. Recent advances in endoscopic techniques, such as endoscopic ultrasonography and balloon enteroscopy, and newly designed stents have broadened the indications for pancreatic duct stenting. In this review we outlined the types, insertion procedures, efficacy, and complications of endoscopic pancreatic duct stent placement, and summarized the applications of pancreatic duct stents in surgery.

Keywords: endoscopic retrograde cholangiopancreatography; endosonography; pancreatic duct stents; surgery.

Publication types

  • Review

MeSH terms

  • Cholangiopancreatography, Endoscopic Retrograde* / adverse effects
  • Humans
  • Pancreas
  • Pancreatic Ducts / diagnostic imaging
  • Pancreatic Ducts / surgery
  • Pancreatitis* / etiology
  • Pancreatitis* / surgery
  • Postoperative Complications / etiology
  • Postoperative Complications / prevention & control
  • Stents / adverse effects