Application of pancreatic duct stent in common pancreas diseases_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

LI Xingyue ¹ ,  LIU Hong ² , HE Kangli ¹ , ZHANG Zhi ¹

1. Shanxi Medical University, Taiyuan 030001, P. R. China;
2. Department of Hepatobiliary and Pancreatic Surgery, The First Hospital of Shanxi Medical University, Taiyuan 030001, P. R. China;

Corresponding?author：

LIU Hong, Email: 18834185465@163.com

Keywords：

pancreatitis; pancreatic neoplasms; pancreatic duct stent; pancreatic surgery

DOI：

10.7507/1007-9424.202011126

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective To investigate the application scope and effects of pancreatic duct stent in common pancreas diseases.Method The literatures on application of pancreatic duct stent in common pancreas diseases at domestic and foreign were reviewed.Results Pancreatic duct stent had been used in acute and chronic pancreatitis and pancreatic tumor, which could the relieve symptoms, reduce the complications of pancreatitis, improve the prognosis, shorten the hospital stay, and reduce the hospitalization costs. Meanwhile it had also been used in pancreatic tumor surgery, palliative treatment, and brachytherapy that some achievements had been made.Conclusion Although application of pancreatic duct stent in some common pancreatic diseases is still controversial, effect is better and has some advantages with small trauma and low incidence of complications, which also provides a new treatment option for some common pancreatic diseases.

Citation： LI Xingyue, LIU Hong, HE Kangli, ZHANG Zhi. Application of pancreatic duct stent in common pancreas diseases. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2021, 28(10): 1384-1389. doi: 10.7507/1007-9424.202011126 Copy

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2.	中華醫學會消化病學分會胰腺疾病學組, 《中華胰腺病雜志》編委會, 《中華消化雜志》編委會. 中國急性胰腺炎診治指南(2019 年, 沈陽). 臨床肝膽病雜志, 2019, 35(12): 2706-2711.
3.	方劍鋒, 陳志良, 魯葆春. 早期“三管法”治療重癥急性膽源性胰腺炎的療效探討. 中國現代醫生, 2019, 57(24): 45-49.
4.	Hisai H, Sakurai T, Seki R, et al. The safety and efficacy of pancreatic duct stent placement in the emergency ERCP of acute biliary pancreatitis. Pancreatology, 2016, 16(4): S49.
5.	陳俊, 馬鐵軍, 石建國, 等. 內鏡聯合腹腔鏡治療重癥急性膽源性胰腺炎的療效探討. 現代消化及介入診療, 2019, 24(9): 1024-1027.
6.	楊尹默, 謝學海. 膽源性胰腺炎診治現狀與進展. 中國實用外科雜志, 2020, 40(11): 1240-1242, 1246.
7.	張耿, 費凜, 蘇樹英, 等. 臨時小口徑胰管支架置入術在急性膽源性胰腺炎早期內鏡治療中的作用. 中華普通外科雜志, 2020, 35(5): 410-411.
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11.	Laopeamthong I, Tonozuka R, Kojima H, et al. Percutaneous endoscopic necrosectomy using a fully covered self-expandable metal stent in severe necrotizing pancreatitis. Endoscopy, 2019, 51(2): E22-E23.
12.	Smith ZL, Elmunzer BJ, Cooper GS, et al. Real-world practice patterns in the era of rectal indomethacin for prophylaxis against post-ERCP pancreatitis in a high-risk cohort. Am J Gastroenterol, 2020, 115(6): 934-940.
13.	Vadalà di Prampero SF, Faleschini G, Panic N, et al. Endoscopic and pharmacological treatment for prophylaxis against postendoscopic retrograde cholangiopancreatography pancreatitis: a meta-analysis and systematic review. Eur J Gastroenterol Hepatol, 2016, 28(12): 1415-1424.
14.	潘濤, 王一平, 楊錦林, 等. 胰管支架置入術預防內鏡逆行胰膽管造影術后胰腺炎的系統評價. 中國循證醫學雜志, 2004, 4(10): 693-699.
15.	Phillip V, Pukitis A, Epstein A, et al. Pancreatic stenting to prevent post-ERCP pancreatitis: a randomized multicenter trial. Endosc Int Open, 2019, 7(7): E860-E868.
16.	Sugimoto M, Takagi T, Suzuki R, et al. Into which region should a prophylactic pancreatic stent be inserted? A propensity score matching analysis. J Gastrointestin Liver Dis, 2020, 29(3): 399-405.
17.	張乙川, 李勁, 王俊, 等. 3 cm 與 5 cm 胰管支架預防 ERCP 術后胰腺炎發生的療效比較. 重慶醫學, 2016, 45(24): 3388-3390.
18.	張誠, 楊玉龍, 于穎, 等. 一體式胰膽管支架在預防 ERCP 術后胰腺炎中的應用價值. 中華醫學雜志, 2016, 96(46): 3710-3714.
19.	Olsson G, Lübbe J, Arnelo U, et al. The impact of prophylactic pancreatic stenting on post-ERCP pancreatitis: A nationwide, register-based study. United European Gastroenterol J, 2017, 5(1): 111-118.
20.	Dumonceau JM, Kapral C, Aabakken L, et al. ERCP-related adverse events: European Society of Gastrointestinal Endoscopy (ESGE) guideline. Endoscopy, 2020, 52(2): 127-149.
21.	傅曉, 張曉東, 汪靜, 等. 生長抑素、胰管支架引流及二者聯合預防選擇性膽管插管困難患者經內鏡逆行性胰膽管造影術術后急性胰腺炎的回顧性分析. 實用醫學雜志, 2020, 36(16): 2290-2294.
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23.	Li TT, Song SL, Xiao LN, et al. Efficacy of fully covered self-expandable metal stents for the management of pancreatic duct strictures in chronic pancreatitis: A systematic review and meta-analysis. J Gastroenterol Hepatol, 2020, 35(7): 1099-1106.
24.	Dumonceau JM, Delhaye M, Tringali A, et al. Endoscopic treatment of chronic pancreatitis: This article is protected by copyright. All rights reserved. European Society of Gastrointestinal Endoscopy (ESGE) Guideline—Updated August 2018. Endoscopy, 2019, 51: 179-193.
25.	Ogura T, Onda S, Takagi W, et al. Placement of a 6 mm, fully covered metal stent for main pancreatic head duct stricture due to chronic pancreatitis: a pilot study (with video). Therap Adv Gastroenterol, 2016, 9(5): 722-728.
26.	許哲, 王珍, 李煥祥, 等. 全覆膜金屬支架在慢性胰腺炎治療中的應用研究. 中國醫學創新, 2019, 16(5): 43-46.
27.	Tringali A, Bove V, Vadalà di Prampero SF, et al. Long-term follow-up after multiple plastic stenting for refractory pancreatic duct strictures in chronic pancreatitis. Endoscopy, 2019, 51(10): 930-935.
28.	Lee YN, Moon JH, Park JK, et al. Preliminary study of a modified, nonflared, short, fully covered metal stent for refractory benign pancreatic duct strictures (with videos). Gastrointest Endosc, 2020, 91(4): 826-833.
29.	Ogura T, Okuda A, Miyano A, et al. Electrohydraulic lithotripsy for pancreatic duct stones under temporary 6-mm fully covered metal stent placement. Endoscopy, 2018, 50(7): E177-E178.
30.	Branstetter H, Patel U, Kedia P, et al. Self-expandable covered metallic stent as a conduit for pancreatic stone extraction. Endoscopy, 2018, 50(9): E262-E263.
31.	Shin SK, Cho JH, Kim YS. Peroral pancreatoscopy with electrohydraulic lithotripsy for pancreatic duct stone after placement of fully covered self-expandable metal stent. Endoscopy, 2015, 47 Suppl 1 UCTN: E234-E235.
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34.	王琨, 楊帆, 劉亞輝, 等. 經內鏡胰管支架置入聯合腫瘤剜除術治療胰腺頸部良性腫瘤 1 例報告. 臨床肝膽病雜志, 2019, 35(1): 185-186.
35.	劉力籠, 楊敏, 王幸, 等. 單純腫瘤摘除術與部分胰腺切除術對治療胰島素瘤的生存分析. 中華內分泌外科雜志, 2016, 10(6): 461-464.
36.	羅文浩, 曹喆, 張太平. 胰腺切除術后胰瘺合并腹腔感染的診療進展. 國際外科學雜志, 2020, 47(5): 295-298.
37.	Watanabe Y, Ueda K, Nakamura S, et al. Endoscopic transpapillary pancreatic duct stent placement for symptomatic peripancreatic fluid collection caused by clinically relevant postoperative pancreatic fistula after distal pancreatectomy. Surg Laparosc Endosc Percutan Tech, 2019, 29(4): 261-266.
38.	Kokudo T, Petermann D, Demartines N, et al. Laparoscopic pancreatic enucleation with end-to-end pancreatic duct reconstruction. Ann Surg Oncol, 2015, 22(4): 1190.
39.	Frozanpor F, Lundell L, Segersv?rd R, et al. The effect of prophylactic transpapillary pancreatic stent insertion on clinically significant leak rate following distal pancreatectomy: results of a prospective controlled clinical trial. Ann Surg, 2012, 255(6): 1032-1036.
40.	Giuliani T, Marchegiani G, Girgis MD, et al. Endoscopic placement of pancreatic stent for “Deep” pancreatic enucleations operative technique and preliminary experience at two high-volume centers. Surg Endosc, 2020, 34(6): 2796-2802.
41.	王赭, 陳勇, 盧斌, 等. 術前預置胰管支架對胰體尾切除術后胰瘺的預防效果. 武警后勤學院學報(醫學版), 2018, 27(10): 824-827.
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1. 何林, 王丹, 胡良皞, 等. 支架在胰腺疾病治療中的臨床研究進展. 中華胰腺病雜志, 2018, 18(1): 69-71.
2. 中華醫學會消化病學分會胰腺疾病學組, 《中華胰腺病雜志》編委會, 《中華消化雜志》編委會. 中國急性胰腺炎診治指南(2019 年, 沈陽). 臨床肝膽病雜志, 2019, 35(12): 2706-2711.
3. 方劍鋒, 陳志良, 魯葆春. 早期“三管法”治療重癥急性膽源性胰腺炎的療效探討. 中國現代醫生, 2019, 57(24): 45-49.
4. Hisai H, Sakurai T, Seki R, et al. The safety and efficacy of pancreatic duct stent placement in the emergency ERCP of acute biliary pancreatitis. Pancreatology, 2016, 16(4): S49.
5. 陳俊, 馬鐵軍, 石建國, 等. 內鏡聯合腹腔鏡治療重癥急性膽源性胰腺炎的療效探討. 現代消化及介入診療, 2019, 24(9): 1024-1027.
6. 楊尹默, 謝學海. 膽源性胰腺炎診治現狀與進展. 中國實用外科雜志, 2020, 40(11): 1240-1242, 1246.
7. 張耿, 費凜, 蘇樹英, 等. 臨時小口徑胰管支架置入術在急性膽源性胰腺炎早期內鏡治療中的作用. 中華普通外科雜志, 2020, 35(5): 410-411.
8. Dibirov MD, Khachatryan NN, Erin SA, et al. Results of 300 pancreatic duct stenting in acute pancreatitis. Khirurgiia (Mosk), 2020, (11): 86-92.
9. Karjula H, Nordblad Schmidt P, M?kel? J, et al. Prophylactic pancreatic duct stenting in severe acute necrotizing pancreatitis: a prospective randomized study. Endoscopy, 2019, 51(11): 1027-1034.
10. Tang YL, Peng ZX, Liu HM. Preoperative endoscopic transpapillary stenting: A solution to preventing and/or treating postsurgical external pancreatic fistula and infection in patients with infected necrotizing pancreatitis. Med Hypotheses, 2020, 141: 109733.
11. Laopeamthong I, Tonozuka R, Kojima H, et al. Percutaneous endoscopic necrosectomy using a fully covered self-expandable metal stent in severe necrotizing pancreatitis. Endoscopy, 2019, 51(2): E22-E23.
12. Smith ZL, Elmunzer BJ, Cooper GS, et al. Real-world practice patterns in the era of rectal indomethacin for prophylaxis against post-ERCP pancreatitis in a high-risk cohort. Am J Gastroenterol, 2020, 115(6): 934-940.
13. Vadalà di Prampero SF, Faleschini G, Panic N, et al. Endoscopic and pharmacological treatment for prophylaxis against postendoscopic retrograde cholangiopancreatography pancreatitis: a meta-analysis and systematic review. Eur J Gastroenterol Hepatol, 2016, 28(12): 1415-1424.
14. 潘濤, 王一平, 楊錦林, 等. 胰管支架置入術預防內鏡逆行胰膽管造影術后胰腺炎的系統評價. 中國循證醫學雜志, 2004, 4(10): 693-699.
15. Phillip V, Pukitis A, Epstein A, et al. Pancreatic stenting to prevent post-ERCP pancreatitis: a randomized multicenter trial. Endosc Int Open, 2019, 7(7): E860-E868.
16. Sugimoto M, Takagi T, Suzuki R, et al. Into which region should a prophylactic pancreatic stent be inserted? A propensity score matching analysis. J Gastrointestin Liver Dis, 2020, 29(3): 399-405.
17. 張乙川, 李勁, 王俊, 等. 3 cm 與 5 cm 胰管支架預防 ERCP 術后胰腺炎發生的療效比較. 重慶醫學, 2016, 45(24): 3388-3390.
18. 張誠, 楊玉龍, 于穎, 等. 一體式胰膽管支架在預防 ERCP 術后胰腺炎中的應用價值. 中華醫學雜志, 2016, 96(46): 3710-3714.
19. Olsson G, Lübbe J, Arnelo U, et al. The impact of prophylactic pancreatic stenting on post-ERCP pancreatitis: A nationwide, register-based study. United European Gastroenterol J, 2017, 5(1): 111-118.
20. Dumonceau JM, Kapral C, Aabakken L, et al. ERCP-related adverse events: European Society of Gastrointestinal Endoscopy (ESGE) guideline. Endoscopy, 2020, 52(2): 127-149.
21. 傅曉, 張曉東, 汪靜, 等. 生長抑素、胰管支架引流及二者聯合預防選擇性膽管插管困難患者經內鏡逆行性胰膽管造影術術后急性胰腺炎的回顧性分析. 實用醫學雜志, 2020, 36(16): 2290-2294.
22. 中華醫學會消化內鏡學分會 ERCP 學組, 中國醫師協會消化醫師分會膽胰學組, 國家消化系統疾病臨床醫學研究中心. 中國經內鏡逆行胰膽管造影術指南(2018 版). 臨床肝膽病雜志, 2018, 34(12): 2537-2554.
23. Li TT, Song SL, Xiao LN, et al. Efficacy of fully covered self-expandable metal stents for the management of pancreatic duct strictures in chronic pancreatitis: A systematic review and meta-analysis. J Gastroenterol Hepatol, 2020, 35(7): 1099-1106.
24. Dumonceau JM, Delhaye M, Tringali A, et al. Endoscopic treatment of chronic pancreatitis: This article is protected by copyright. All rights reserved. European Society of Gastrointestinal Endoscopy (ESGE) Guideline—Updated August 2018. Endoscopy, 2019, 51: 179-193.
25. Ogura T, Onda S, Takagi W, et al. Placement of a 6 mm, fully covered metal stent for main pancreatic head duct stricture due to chronic pancreatitis: a pilot study (with video). Therap Adv Gastroenterol, 2016, 9(5): 722-728.
26. 許哲, 王珍, 李煥祥, 等. 全覆膜金屬支架在慢性胰腺炎治療中的應用研究. 中國醫學創新, 2019, 16(5): 43-46.
27. Tringali A, Bove V, Vadalà di Prampero SF, et al. Long-term follow-up after multiple plastic stenting for refractory pancreatic duct strictures in chronic pancreatitis. Endoscopy, 2019, 51(10): 930-935.
28. Lee YN, Moon JH, Park JK, et al. Preliminary study of a modified, nonflared, short, fully covered metal stent for refractory benign pancreatic duct strictures (with videos). Gastrointest Endosc, 2020, 91(4): 826-833.
29. Ogura T, Okuda A, Miyano A, et al. Electrohydraulic lithotripsy for pancreatic duct stones under temporary 6-mm fully covered metal stent placement. Endoscopy, 2018, 50(7): E177-E178.
30. Branstetter H, Patel U, Kedia P, et al. Self-expandable covered metallic stent as a conduit for pancreatic stone extraction. Endoscopy, 2018, 50(9): E262-E263.
31. Shin SK, Cho JH, Kim YS. Peroral pancreatoscopy with electrohydraulic lithotripsy for pancreatic duct stone after placement of fully covered self-expandable metal stent. Endoscopy, 2015, 47 Suppl 1 UCTN: E234-E235.
32. Ogura T, Nishioka N, Higuchi K. Transluminal antegrade endoscopic lithotripsy for pancreatic duct stones (with video). Dig Endosc, 2018, 30(6): 796-797.
33. 華杰, 孟紅波, 姚樂, 等. 胰腺疾病的診治進展. 國際外科學雜志, 2017, 44(6): 372-375.
34. 王琨, 楊帆, 劉亞輝, 等. 經內鏡胰管支架置入聯合腫瘤剜除術治療胰腺頸部良性腫瘤 1 例報告. 臨床肝膽病雜志, 2019, 35(1): 185-186.
35. 劉力籠, 楊敏, 王幸, 等. 單純腫瘤摘除術與部分胰腺切除術對治療胰島素瘤的生存分析. 中華內分泌外科雜志, 2016, 10(6): 461-464.
36. 羅文浩, 曹喆, 張太平. 胰腺切除術后胰瘺合并腹腔感染的診療進展. 國際外科學雜志, 2020, 47(5): 295-298.
37. Watanabe Y, Ueda K, Nakamura S, et al. Endoscopic transpapillary pancreatic duct stent placement for symptomatic peripancreatic fluid collection caused by clinically relevant postoperative pancreatic fistula after distal pancreatectomy. Surg Laparosc Endosc Percutan Tech, 2019, 29(4): 261-266.
38. Kokudo T, Petermann D, Demartines N, et al. Laparoscopic pancreatic enucleation with end-to-end pancreatic duct reconstruction. Ann Surg Oncol, 2015, 22(4): 1190.
39. Frozanpor F, Lundell L, Segersv?rd R, et al. The effect of prophylactic transpapillary pancreatic stent insertion on clinically significant leak rate following distal pancreatectomy: results of a prospective controlled clinical trial. Ann Surg, 2012, 255(6): 1032-1036.
40. Giuliani T, Marchegiani G, Girgis MD, et al. Endoscopic placement of pancreatic stent for “Deep” pancreatic enucleations operative technique and preliminary experience at two high-volume centers. Surg Endosc, 2020, 34(6): 2796-2802.
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Application of pancreatic duct stent in common pancreas diseases

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