Optimal Retention Duration of Prophylactic Pancreatic Duct Stents Placed During Endoscopic Retrograde Cholangiopancreatography: A Multicenter Randomized Controlled Trial - PubMed
4 hours ago
- #pancreatitis
- #stent
- #ERCP
- Compared 2-week vs. 4-week retention of prophylactic pancreatic duct stents (PDS) after ERCP.
- Primary outcome: proportion needing endoscopic stent removal was lower in the 4-week group (6.6%) vs. 2-week group (18.8%).
- Spontaneous stent dislodgment was higher in the 4-week group (92.1%) vs. 2-week group (81.3%).
- Post-ERCP pancreatitis (PEP) incidence was similar between groups (10.5% vs. 15.0%, no significant difference).
- Most PEP cases were mild, with only a few moderate cases in each group; no PDS-associated pancreatitis observed.
- Conclusion: 4-week retention reduces need for endoscopic removal without increasing complications like PEP.