cbd stent placement

Cbd stent placement

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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.

If you have cancer that can’t be removed by surgery and your bile duct is blocked, you will usually have a stent put in to unblock it. But sometimes surgery called bypass surgery is used to make a new way for bile to flow to the intestines, passing around the blocked bile duct. This is usually done if you were originally having surgery to remove the cancer but that wasn’t possible.

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

Questions to ask your doctor or nurse

Your symptoms should start to improve soon after having a stent put in.

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.

You might want to write down any questions you have for your doctor to take with you. You may also want to take someone with you when you see your doctor. They can write down the answers to any questions you have and any important information.

What’s in the ‘Stents for a blocked bile duct’ section?

There can be problems with a stent. For example, it can get blocked or move out of place. There is also a risk of getting an infection or an inflamed pancreas (pancreatitis). But your doctor or nurse can treat these problems if they happen.

You can also speak to our nurses on our free Support Line with any questions or worries you might have about a stent.

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.

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.

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.

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

Design: Retrospective study.

Limitations: A retrospective, single-center study.

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.

Setting: Municipal hospital outpatients.