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  • Title: Necessity for endoscopic sphincterotomy for biliary stenting in cases of malignant biliary obstruction.
    Author: Okano N, Igarashi Y, Kishimoto Y, Mimura T, Ito K.
    Journal: Dig Endosc; 2013 May; 25 Suppl 2():122-5. PubMed ID: 23617662.
    Abstract:
    Endoscopic biliary stenting is a useful way to treat distal malignant biliary strictures that are not eligible for surgery. A 10-Fr plastic or metal stent is used for stenting. Typically, endoscopic sphincterotomy (EST) has often been carried out as a way to prevent pancreatitis after stent placement given the ease of stent insertion, but EST has flaws such as bleeding and stent migration.The present study describes the need for EST prior to stent placement.
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