Palliative therapy in pancreatic cancer-interventional treatment with stents

Transl Gastroenterol Hepatol. 2019 Jan 31:4:7. doi: 10.21037/tgh.2019.01.05. eCollection 2019.

Abstract

Interventional treatment with stents in pancreatic cancer is a topic that developed during recent years and new fields of palliative stent therapy have evolved. The increasing life expectancy of patients with unresectable pancreatic cancer increases the need for clinical and cost effective therapeutic interventions. Current literature, guidelines, practice and evidence were reviewed. Besides the most obvious biliary stenting via endoscopic retrograde cholangiopancreatography (ERCP), pancreatic and gastroduodenal stenting as well as percutaneous transhepatic cholangiography (PTC) and the rapidly growing field of endosonographic stent implantation in the palliative care of patients with pancreatic cancer are being discussed from several points of view in this review.

Keywords: Lumen apposing metal stent (LAMS); Pancreatic cancer; endoscopic retrograde cholangiopancreatography (ERCP); endosonography (EUS); self-expanding metal stents (SEMS).

Publication types

  • Review