Baron Todd H
Division of Gastroenterology & Hepatology, University of North Carolina, Chapel Hill, North Carolina, USA.
Curr Opin Gastroenterol. 2014 Sep;30(5):453-6. doi: 10.1097/MOG.0000000000000100.
To determine trends in pancreaticobiliary stents over the past 12-18 months.
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.
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.
确定过去12至18个月内胰胆管支架的发展趋势。
金属胆道支架继续用于恶性远端胆道梗阻的姑息治疗，其通畅性优于塑料支架。覆膜金属胆道支架越来越多地用于良性胆道疾病的治疗。除胰腺坏死的经壁引流外，塑料支架在胰腺疾病患者中占主导地位。在胆道和胰腺疾病中，内镜超声引导下干预的应用有增加趋势。
胰胆管支架的内镜置入在复杂的良性和恶性疾病治疗中发挥着重要作用。需要进一步的对比试验来确定内镜超声引导下经壁支架置入的最佳作用。
