naa a22 4500 510813925 CHVBK 20180411083455.0 cr unu---uuuuu 180411e20130601xx s 000 0 eng 10.1007/s12328-013-0394-x doi (NATIONALLICENCE)springer-10.1007/s12328-013-0394-x Yasuda Ichiro First Department of Internal Medicine, Gifu University Hospital, 1-1 Yanagido, 501-1194, Gifu, Japan aut Endoscopic biliary stenting and pancreatitis [Elektronische Daten] [Ichiro Yasuda] Endoscopic biliary stenting across the duodenal papilla can obstruct the adjacent pancreatic orifice and disturb the flow of pancreatic juice, which may result in pancreatitis. However, the relationship of endoscopic biliary stenting to post-procedure pancreatitis has not been thoroughly examined. Therefore, we have reviewed the published literature on this issue. Although biliary stenting, especially with large-bore and self-expandable metallic stents (SEMSs), has been considered a possible additional risk factor for pancreatitis following biliary stenting, most studies have not provided convincing supporting evidence; this failure may be due to inadequate study design or insufficient numbers of subjects. It also remains unclear whether endoscopic sphincterotomy (EST) performed prior to biliary stenting decreases the incidence of post-stenting pancreatitis; some recent studies have claimed that EST is not necessary before biliary stenting, even with placement of SEMSs. Well-designed studies with a large number of subjects will be needed to clarify these issues. Springer Japan, 2013 Pancreatitis nationallicence Biliary stenting nationallicence Metallic stent nationallicence Endoscopic sphincterotomy nationallicence Clinical Journal of Gastroenterology Springer Japan 6/3(2013-06-01), 193-197 1865-7257 6:3<193 2013 6 12328 https://doi.org/10.1007/s12328-013-0394-x text/html Onlinezugriff via DOI 1 review-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s12328-013-0394-x text/html Onlinezugriff via DOI NATIONALLICENCE 100 1- Yasuda Ichiro First Department of Internal Medicine, Gifu University Hospital, 1-1 Yanagido, 501-1194, Gifu, Japan aut NATIONALLICENCE 773 0- Clinical Journal of Gastroenterology Springer Japan 6/3(2013-06-01), 193-197 1865-7257 6:3<193 2013 6 12328 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer