Wu L, Liu F, Zhang N, Wang XP, Li W. Endoscopic pancreaticobiliary drainage with overlength stents to prevent delayed perforation after endoscopic papillectomy: A pilot study. World J Gastroenterol 2020; 26(44): 7036-7045 [PMID: 33311948 DOI: 10.3748/wjg.v26.i44.7036]
Corresponding Author of This Article
Wen Li, DPhil, DSc, Chief Doctor, Executive Vice President, Professor, Department of Gastroenterology and Hepatology, The First Medical Center of Chinese PLA General Hospital, No. 28 Fuxing Road, Haidian Distict, Beijing 100853, Beijing, China. liwen2000@yahoo.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Retrospective Study
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Wu L, Liu F, Zhang N, Wang XP, Li W. Endoscopic pancreaticobiliary drainage with overlength stents to prevent delayed perforation after endoscopic papillectomy: A pilot study. World J Gastroenterol 2020; 26(44): 7036-7045 [PMID: 33311948 DOI: 10.3748/wjg.v26.i44.7036]
World J Gastroenterol. Nov 28, 2020; 26(44): 7036-7045 Published online Nov 28, 2020. doi: 10.3748/wjg.v26.i44.7036
Endoscopic pancreaticobiliary drainage with overlength stents to prevent delayed perforation after endoscopic papillectomy: A pilot study
Liang Wu, Fang Liu, Nan Zhang, Xiao-Peng Wang, Wen Li
Liang Wu, International Center for Diagnosis and Treatment of Liver Diseases, The Fifth Medical Center of Chinese PLA General Hospital, Beijing 100039, China
Fang Liu, Nan Zhang, Wen Li, Department of Gastroenterology and Hepatology, The First Medical Center of Chinese PLA General Hospital, Beijing 100853, China
Xiao-Peng Wang, Department of Gastroenterology and Hepatology, Chinese PLA 305 Hospital, Beijing 100017, China
Author contributions: Li W designed the study, mainly performed endoscopic papillectomy, placed overlength stents, and revised the manuscript; Wu L and Liu F assisted in the endoscopic operation, analyzed the data and drafted the manuscript; Wu L and Liu F contributed equally to this work; Zhang N was involved in the preparation of resected specimens, immunohistochemical analysis and interpretation of pathological results; Wang XP assessed study details and revised the manuscript; and all authors read and approved the final version of the manuscript.
Institutional review board statement: This study was reviewed and approved by the Ethics Committee of the Chinese PLA General Hospital.
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment and were aware of the option of surgical treatment.
Conflict-of-interest statement: The authors have no financial relationships to disclose.
Data sharing statement: No additional data are available.
Corresponding author: Wen Li, DPhil, DSc, Chief Doctor, Executive Vice President, Professor, Department of Gastroenterology and Hepatology, The First Medical Center of Chinese PLA General Hospital, No. 28 Fuxing Road, Haidian Distict, Beijing 100853, Beijing, China. liwen2000@yahoo.com
Received: August 20, 2020 Peer-review started: August 20, 2020 First decision: September 12, 2020 Revised: September 24, 2020 Accepted: October 13, 2020 Article in press: October 13, 2020 Published online: November 28, 2020 Processing time: 98 Days and 23.8 Hours
Core Tip
Core Tip: This is a retrospective study to evaluate the feasibility and safety of overlength biliary and pancreatic stents placement after endoscopic papillectomy (EP). Five patients with exposure or injury of the muscularis propria after EP were included. Overlength biliary and pancreatic stents, modified by an endoscopic nasobiliary drainage tube, were placed, respectively, and the bile and pancreatic juice were drained to the proximal jejunum. EP and stents placement were technically feasible in all patients. One papillectomy-related complication (mild acute pancreatitis) occurred without any episodes of bleeding, perforation or cholangitis. Overlength biliary and pancreatic stents placement after EP is a feasible and useful technique to prevent delayed perforation.
