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Yu.D. Kulikov

Sklifosovsky Research Institute for Emergency Care

Yu.S. Teterin

Sklifosovsky Research Institute for Emergency Care

A.S. Mironova

Sklifosovsky Research Institute for Emergency Care

P.A. Yartsev

Sklifosovsky Research Institute for Emergency Care

Tadevosyan Rohas

Sklifosovsky Research Institute for Emergency Care

K.A. Nugumanova

Sklifosovsky Research Institute for Emergency Care

Endoscopic stenting for malignant pancreatobiliary strictures

Authors:

Yu.D. Kulikov, Yu.S. Teterin, A.S. Mironova, P.A. Yartsev, Tadevosyan Rohas, K.A. Nugumanova

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2024;(1): 29‑33

DOI: 10.17116/hirurgia202401129

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Table of contents

ENDOSCOPIC STENTING FOR MALIGNANT PANCREATOBILIARY STRICTURES
ENDOSCOPIC STENTING FOR MALIGNANT PANCREATOBILIARY STRICTURES

To cite this article:

Kulikov YuD, Teterin YuS, Mironova AS, Yartsev PA, Rohas TadevosyanT, Nugumanova KA. Endoscopic stenting for malignant pancreatobiliary strictures. Pirogov Russian Journal of Surgery. 2024;(1):29‑33. (In Russ., In Engl.)
https://doi.org/10.17116/hirurgia202401129

Здоровье щитовидной железы – 2024
Перекрестки терапевтических проблем
Доказательная гастроэнтерология: pro et contra
Актуальные вопросы педиатрической практики
NN - давайте знакомится (08.04.2024)
Использование инфографики авторами научных работ
МСФ на ЯМ
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OBJECTIVE

To improve the outcomes in patients with malignant obstructive jaundice using intraluminal stenting.

MATERIAL AND METHODS

The present study included 62 patients with clinical symptoms of malignant obstructive jaundice. In the main group, we performed biliary stenting with self-expanding multi-perforated stents (Hanarostent Multi-hole Biliary). Microscopic perforations of these stents prevent migration and reduce the risk of blocking the cystic and main pancreatic ducts. In the control group, stenting was performed with fully and partially covered self-expanding stents.

RESULTS

Lower incidence of obstructive cholecystitis and acute pancreatitis in the main group was associated with multiperforated stents reducing the risk of blocking the main pancreatic and cystic ducts.

CONCLUSION

In our study, multiperforated stents excluded migration and reduced the incidence of complications (acute cholecystitis from 11.5 to 3.8%, acute pancreatitis from 15.3 to 7.7%).

Keywords:

bilioduodenal stenting
malignant stricture
obstructive jaundice

Authors:

Yu.D. Kulikov

Sklifosovsky Research Institute for Emergency Care

Yu.S. Teterin

Sklifosovsky Research Institute for Emergency Care

A.S. Mironova

Sklifosovsky Research Institute for Emergency Care

P.A. Yartsev

Sklifosovsky Research Institute for Emergency Care

Tadevosyan Rohas

Sklifosovsky Research Institute for Emergency Care

K.A. Nugumanova

Sklifosovsky Research Institute for Emergency Care

Received:

15.05.2023

Accepted:

04.09.2023

List of references:

  1. Styazhkina SN, Isteeva AR, Korotkova KA, et al. Actual problems of obstructive jaundice in surgery. International Journal of Applied and Fundamental Research. 2016;7-3:427-430. (In Russ.).
  2. Podoluzhnyi VI, Zarutskaya NV, Radionov IA. Complications of cholelithiasis. Kemerovo: Polygraph; 2016;154. (In Russ.).
  3. Kulezneva YuV, Melekhina OV, Musatov AB, et al. Controversial issues of bile duct stenting for proximal tumor biliary block. Annals of surgical hepatology. 2021;26(3):79-88. (In Russ.). https://doi.org/10.16931/1995-5464.2021-3-79-88
  4. Fomicheva NV, Shuleshova AG, Ulyanov DN, et al. Diagnosis and treatment of obstructive jaundice syndrome. Experimental and clinical gastroenterology. 2017;4:27-34. (In Russ.).
  5. Lopes CV, Pereira-Lima J, Hartmann AA. The role of linear endosonography for the diagnosis of acute pancreatitis when other methods failed. Clinics and Research in Hepatology and Gastroenterology. 2019;43:98-103.  https://doi.org/10.1016/j.clinre.2018.08.004
  6. Coutinho LM, Bernardo WM, Rocha RS, et al. Early endoscopic retrograde cholangiopancreatography versus conservative treatment in patients with acute biliary pancreatitis. Pancreas. 2018;47:444-453.  https://doi.org/10.1097/MPA.0000000000001032
  7. Baron T, DiMaio Ch, Wang A, Morgan K. American Gastroenterological Association Clinical Practice Update: Management of Pancreatic Necrosis. Gastroenterology. 2020;158:67-75.  https://doi.org/10.1053/j.gastro.2019.07.064
  8. Aloia T, Járufe N, Javle M, et al. Gallbladder cancer: expert consensus statement. HPBS. 2015;17(8):681-690. 
  9. Garcarek J, Kurcz J, Guziński M, et al. Ten years single center experience in percutaneous transhepatic decompression of biliary tree in patients with malignant obstructive jaundice. Advances in Clinical and Experimental Medicine. 2012;21(5):621-632. 
  10. Li D, Xie K, Wolff R, Abbruzzese J. Pancreatic cancer. Lancet. 2004;363(9414):1049-1057.
  11. Tempero M, Malafa M, Behrman S, et al. Pancreatic Adenocarcinoma. Version 1.2014. National comprehensive cancer network. 2014;74. 
  12. Papachristou GI, McGrath K, Slivka A. Adenocarcinoma of the Pancreas. In: Faigel DO, Kochman ML, eds. Endoscopic Oncology. NJ: Humana Press; 2006;303-315.  https://doi.org/10.1007/978-1-59745-172-7_26
  13. Saleem A, Leggett C, Murad M, Baron T. Meta-analysis of randomized trials comparing the patency of covered and uncovered self-expandable metal stents for palliation of distal malignant bile duct obstruction. Gastrointestinal endoscopy. 2011;74(2):321-327. 

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