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©The Author(s) 2017. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Mar 7, 2017; 23(9): 1627-1636
Published online Mar 7, 2017. doi: 10.3748/wjg.v23.i9.1627
Published online Mar 7, 2017. doi: 10.3748/wjg.v23.i9.1627
Efficacy and safety of limited endoscopic sphincterotomy before self-expandable metal stent insertion for malignant biliary obstruction
Hyeong Seok Nam, Dae Hwan Kang, Hyung Wook Kim, Cheol Woong Choi, Su Bum Park, Su Jin Kim, Dae Gon Ryu, Department of Internal Medicine, Pusan National University School of Medicine and Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Yangsan-si, Gyeongsangnam-do 50612, South Korea
Author contributions: Kang DH designed research; Kim HW, Choi CW, Park SB, Kim SJ and Ryu DG contributed to the design, organization, and draft of the manuscript; Nam HS wrote the paper; all the authors reviewed the paper.
Conflict-of-interest statement: The authors declare no conflict of interests.
Institutional review board statement: The study was reviewed and approved by the Institutional Review Board of Pusan National University Yangsan Hospital.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Dae Hwan Kang, MD, PhD, Pusan National University School of Medicine and Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Geumo-ro, Mulgeum-eup, Yangsan-si, Gyeongsangnam-do 50612, South Korea. sulsulpul@naver.com
Telephone: +82-55-3601535 Fax: +82-55-3601536
Received: November 1, 2016
Peer-review started: November 3, 2016
First decision: December 19, 2016
Revised: February 8, 2017
Accepted: February 8, 2017
Article in press: February 8, 2017
Published online: March 7, 2017
Peer-review started: November 3, 2016
First decision: December 19, 2016
Revised: February 8, 2017
Accepted: February 8, 2017
Article in press: February 8, 2017
Published online: March 7, 2017
Core Tip
Core tip: The role of routine endoscopic sphincterotomy (ES) is still controversial in biliary stenting and there is a lack of systematic study for the extent of ES and its correlation with the incidence of complications. We retrospectively evaluated the safety and efficacy of limited ES before self-expandable metal stent insertion. We have proved in this study that limited ES doesn't increase the risk of post-procedure complications such as post-endoscopic retrograde cholangio pancreatography pancreatitis and bleeding. Also, it is advantageous in facilitating the more complex stenting procedures. Therefore, limited ES can be a safe, feasible, and effective therapeutic strategy in the placement of self-expandable metal stent.