The efficacy of endoscopic preoperative biliary drainage for pancreatic head cancer
is controversial because of high incidence of stent occlusion before surgery. Though
the efficacy of self-expandable metallic stents (SEMSs) is established in unresectable
pancreatic cancer and is increasingly reported in neoadjuvant treatment settings,
plastic stents are still the standard treatment for preoperative drainage in resectable
pancreatic cancer without neoadjuvant treatment. The role of SEMSs is not fully elucidated
in patients with biliary obstruction by resectable pancreatic cancer. Therefore, we
conducted this multicenter, prospective study to evaluate the feasibility of preoperative
biliary drainage using a fully-covered SEMS (FCSEMS).
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© 2013 American Society for Gastrointestinal Endoscopy. Published by Elsevier Inc. All rights reserved.