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cbd stent placement

Cbd stent placement

Jaundice is when your skin and the whites of your eyes turn yellow. This happens when you get a build-up of bile in your body. Bile is a liquid which your liver makes to help you digest food. Sometimes, pancreatic cancer can block the tube which carries the bile. This tube is called the bile duct. If this tube gets blocked, the bile builds up and you may get jaundice. Read more about jaundice and pancreatic cancer.

If the pancreatic cancer is blocking your bile duct and causing jaundice, you may have a stent put into the bile duct.

Talk to your doctor or nurse if you have any questions.

Read our fact sheet about stents to treat jaundice caused by pancreatic cancer

Stents are small tubes that are put into the bile duct. Pancreatic cancer can also block the duodenum, which is the first part of the small intestine. This causes sickness. A stent can be put into the duodenum to open it and treat the sickness. Read more about stents for the duodenum here.

Conclusions: Stent placement for 2 months was associated with large and/or multiple CBD stones becoming smaller and/or disappearing without any complications. Stenting followed by a wait period may assist in difficult CBD stone removal.

Design: Retrospective study.

Interventions: Patients with large (> or = 20 mm) and/or multiple (> or = 3) stones had placement of a 7F double-pigtail plastic stent without stone extraction at the initial ERCP. Approximately 2 months later, stone removal was attempted. The number and size of CBD stones before and after stent placement, stone clearance, complications, and 180-day mortality were evaluated.

Results: Forty patients were studied. Stent placement averaged 65 days (range, 50-82 days). The median number (interquartile range) of stones per patient fell after stent placement (4.0 [3.0] before vs. 2.0 [1.0] after; P < .0001). Characteristically, larger stones became smaller and small stones disappeared (ie, the median stone index decreased from 4.6 [3.0] to 2.0 [1.5]; P < .0001). Stone clearance at the second ERCP was achieved in 37 out of 40 patients (93%). Complications included cholangitis (13%) and pancreatitis (5%) after the second ERCP. No 180-day mortality occurred.

Background: Endoscopic biliary stenting with a plastic stent is often performed to prevent impaction of common bile duct (CBD) stones. The therapeutic effect of a plastic stent placement in terms of reduction in stone size and number has not been established.

Limitations: A retrospective, single-center study.

Setting: Municipal hospital outpatients.

Objective: The aim of this study was to study the effect of biliary stenting as therapy for CBD stones.

Copyright 2010 American Society for Gastrointestinal Endoscopy. Published by Mosby, Inc. All rights reserved.