Palliation of pancreatic ductal obstruction in pancreatic cancer.
Pancreatic stenting for patients with obstructive pain secondary to a malignant pancreatic duct stricture is safe and effective, and should be considered a therapeutic option. Although pancreatic stenting does not seem to be effective for patients with chronic pain, it may be beneficial in those with obstructive type pains, pancreatic duct disruption, or smoldering pancreatitis. Fully covered metal stents may be an option, but data on their use are limited. Further studies, including prospective randomized studies comparing plastic and metal stents in these indications, are needed to further validate and confirm these results.
Division of Gastroenterology & Hepatology, Department of Medicine, Weill Cornell Medical College, Street 1305 York Avenue, Fourth floor, New York, NY 10021, USA.
Reem Z
RZ
Sharaiha
Jessica
J
Widmer
Michel
M
Kahaleh
D003251:Constriction, Pathologic / Q000150:complications / Q000628:therapy; D006801:Humans; D059408:Pain Management; D010166:Palliative Care; D010183:Pancreatic Ducts / Q000473:pathology*; D010190:Pancreatic Neoplasms / Q000150:complications / Q000628:therapy*; D015607:Stents
Duct obstruction; Pain; Palliation; Pancreatic cancer; Pancreatic stenting