Published online Aug 6, 2022. doi: 10.12998/wjcc.v10.i22.7785
Peer-review started: March 5, 2022
First decision: April 11, 2022
Revised: April 18, 2022
Accepted: June 18, 2022
Article in press: June 18, 2022
Published online: August 6, 2022
Conventional endoscopic papillectomy (EP) has been indicated to papilla adenoma of duodenum lesions. Temporarily placing a prophylactic stent in the pancreatic and bile duct can lower the risk of this perioperative complication.
A new bile duct stent may help with the complication after EP and streamline the procedure.
We evaluated the usefulness, convenient, safety, and short-term results of a novel autorelease bile duct supporter after EP procedure.
After EP, metallic endoclip and human fibrin sealant kit were applied for protection. The autorelease bile duct supporter fell into the duct segment and the intestinal segment. The bile was isolated from the pancreatic juice using an autorelease bile duct supporter, which protected the wound surface.
The autorelease bile duct supporter in 7 of 8 patients fell off naturally and arrived in colon 10 d after the operation. One of this autorelease bile duct supporter successfully removed using forceps or snare under endoscopy. No recurrence was identified during the 8-mo (ranging from 6-9 mo) follow-up.
Autorelease bile duct supporter could decrease the frequency of procedure-associated complications without second endoscopic retraction.
Well-designed larger-scale comparative studies are required to assess the finding of this study.