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Digestive Disease Interventions
DOI: 10.1055/s-0044-1790524
Review Article

Pancreatic Duct Stenting: Does Interventional Radiology Have a Role?

Shriya L. Veluri
1   Long School of Medicine, The University of Texas Health Science Center, San Antonio, Texas
,
Ahmad Arar
2   Division of Interventional Radiology, Department of Radiology, University of Texas Southwestern Medical Center, Dallas, Texas
,
Akhilesh Pillai
3   McGovern Medical School, UT Health Houston, Houston, Texas
,
Gautam Chamarthy
5   Greenhill School, Addison, Texas
,
Thomas Tielleman
4   Division of Digestive and Liver Diseases, Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, Texas
,
Anil K. Pillai
2   Division of Interventional Radiology, Department of Radiology, University of Texas Southwestern Medical Center, Dallas, Texas
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Abstract

Pancreatic duct stenting involves the placement of a stent into the pancreatic duct to restore drainage and flow of pancreatic secretions. It relieves upstream duct dilation, facilitates drainage of pancreatic secretions, and alleviates associated symptoms like pain, nausea, malnutrition, and recurrent pancreatitis. Additionally, it is utilized to treat a variety of pancreatic duct pathologies, including obstructions from conditions like chronic pancreatitis, malignancy, and pancreatic leaks. Depending on the clinical scenario, different types of stents can be placed using endoscopic, percutaneous, or surgical approaches. Endoscopic approaches, such as endoscopic retrograde cholangiopancreatography and endoscopic ultrasound-guided stenting, are often considered first-line procedures for managing pancreatic duct pathologies. However, in cases where these procedures fail, interventional radiology (IR) becomes crucial in managing these conditions, providing a safe and minimally invasive alternative that effectively addresses the underlying issues. This review aims to discuss the clinical, radiological, and technical considerations for pancreatic duct stenting and specifically highlight the role of IR in managing various pancreatic duct pathologies.

Keywords

pancreatic duct stenting - endoscopic ultrasound - percutaneous pancreatic interventions


Publication History

Received: 21 June 2024

Accepted: 20 August 2024

Article published online:
12 November 2024

© 2024. Thieme. All rights reserved.

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