title: Necessity for endoscopic sphincterotomy for biliary stenting in cases of malignant biliary obstruction.
abstract: Endoscopic biliary stenting is a useful way to treat distal malignant biliary strictures that are not eligible for surgery. A 10-Fr plastic or metal stent is used for stenting. Typically, endoscopic sphincterotomy (EST) has often been carried out as a way to prevent pancreatitis after stent placement given the ease of stent insertion, but EST has flaws such as bleeding and stent migration.The present study describes the need for EST prior to stent placement.
authors.affiliation: Division of Gastroenterology and Hepatology, Department of Internal Medicine, Toho University Omori Medical Center, Tokyo, Japan. n-okano@med.toho-u.ac.jp
authors.forename: Naoki
authors.initials: N
authors.lastname: Okano
authors.forename: Yoshinori
authors.initials: Y
authors.lastname: Igarashi
authors.forename: Yui
authors.initials: Y
authors.lastname: Kishimoto
authors.forename: Takahiko
authors.initials: T
authors.lastname: Mimura
authors.forename: Ken
authors.initials: K
authors.lastname: Ito
mesh_terms: D001650:Bile Duct Neoplasms / Q000150:complications / Q000601:surgery*; D002779:Cholestasis / Q000209:etiology / Q000601:surgery*; D006801:Humans; D016717:Sphincterotomy, Endoscopic / Q000379:methods*; D015607:Stents; D016896:Treatment Outcome