title: Best endoscopic stents for the biliary tree and pancreas.
abstract: OBJECTIVE
  To determine trends in pancreaticobiliary stents over the past 12-18 months.
  
  
  RESULTS
  Metal biliary stents continue to be used for palliation of malignant distal biliary obstruction with superior patency to plastic stents. The use of covered metal biliary stents is increasingly being used for the management of benign biliary disease. Plastic stents predominate in patients with pancreatic disease, with the exception of transmural drainage of pancreatic necrosis. In both biliary and pancreatic disorders, there is a trend towards greater utilization of endoscopic ultrasound-guided interventions.
  
  
  CONCLUSIONS
  Endoscopic placement of pancreaticobiliary stents plays an important role in the treatment of complex benign and malignant disease. Further comparative trials are needed to determine the optimal role of endoscopic ultrasound-guided transmural stent placement.
authors.affiliation: Division of Gastroenterology & Hepatology, University of North Carolina, Chapel Hill, North Carolina, USA.
authors.forename: Todd H
authors.initials: TH
authors.lastname: Baron
mesh_terms: D001660:Biliary Tract Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D016145:Endoscopy, Digestive System / Q000379:methods*; D019160:Endosonography / Q000379:methods*; D006801:Humans; D010182:Pancreatic Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D011474:Prosthesis Design; D019919:Prosthesis Implantation / Q000379:methods*; D015607:Stents; D025321:Surgery, Computer-Assisted / Q000379:methods*