| Theme | Biliopancreatic Drainage and Stenting | |
|---|---|---|
| Title | Therapeutic Strategies for Drainage or Stenting Treatment of Biliary and Pancreatic Diseases | |
| Publish Date | 2012/04 | |
| Author | Keiji Hanada | Department of Gastroenterology, Onomichi General Hospital |
| Author | Tomohiro Iiboshi | Department of Gastroenterology, Onomichi General Hospital |
| Author | Naomichi Hirano | Department of Gastroenterology, Onomichi General Hospital |
| Author | Mio Amano | Department of Gastroenterology, Onomichi General Hospital |
| Author | Kentaro Yamao | Department of Gastroenterology, Onomichi General Hospital |
| Author | Shintaro Sagami | Department of Gastroenterology, Onomichi General Hospital |
| [ Summary ] | We report on current trends concerning methods of drainage or stenting for cases with pancreatic and biliary diseases. Recently, the technique of employing endoscopic transpapillary drainage using a posterior oblique-viewing endoscope has taken the place of methods for percutaneous transhepatic drainage. Additionally, there have been some reports on the usefulness of endoscopic ultrasound guided choledochoduodenostomy. A new method using a double balloon endoscope enables easier access to the afferent loop in cases treated with Billroth-II gastrectomies, or Roux-en-Y anastomosis. However, no standard procedure has been established for these new methods. Further improvements in these methods are needed to provide better treatment outcomes. | |