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Abdullah Rashdan, Evan L

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1 Improved stent characteristics for prophylaxis of post-ERCP pancreatitis 
Abdullah Rashdan, Evan L. Fogel, Lee McHenry, Stuart Sherman, M’Hamed Temkit, Glen A. Lehman  Clinical Gastroenterology and Hepatology  Volume 2, Issue 4, Pages (April 2004) DOI: /S (04)00062-X

2 Figure 1 (A) Polyethylene duodenal pigtail pancreatic stents (Wilson-Cook): 3F stent (top), 4F stent (middle), and 5F stent (bottom). (B) Three-quarter duodenal pigtail stents, 3F stent (top), and 4F stent, internal flange removed (bottom). Clinical Gastroenterology and Hepatology 2004 2, DOI: ( /S (04)00062-X)

3 Figure 2 (A) Baseline normal pancreatogram. A prophylactic 3F 10-cm pancreatic stent was placed. (B) Pancreatogram performed 9 months later for recurrent symptoms showing grade I narrowing in the stented zone (arrow, <20% luminal narrowing). Clinical Gastroenterology and Hepatology 2004 2, DOI: ( /S (04)00062-X)

4 Figure 3 (A) Baseline normal pancreatogram. A prophylactic 4F 8-cm pancreatic stent was placed. (B) Pancreatogram performed 4 months later for persistent symptoms showing grade II narrowing in the stented zone (arrow, 20%–50% luminal narrowing). Clinical Gastroenterology and Hepatology 2004 2, DOI: ( /S (04)00062-X)

5 Figure 4 (A) Baseline normal pancreatogram. A prophylactic 3F 10-cm pancreatic stent was placed. (B) Pancreatogram at stent removal showing grade III narrowing in the stented zone (arrow, >50% luminal narrowing). Clinical Gastroenterology and Hepatology 2004 2, DOI: ( /S (04)00062-X)

6 Figure 5 (A) Baseline normal pancreatogram. A prophylactic 4F 8-cm pancreatic stent was placed. (B) Pancreatogram at stent removal showing grade I narrowing in the stented zone (arrow <20% luminal narrowing). (C) Resolution of the stent-induced changes seen on a pancreatogram performed 8 months later (arrow, no residual narrowing present). Clinical Gastroenterology and Hepatology 2004 2, DOI: ( /S (04)00062-X)

7 Figure 6 Spontaneous pancreatic polyethylene stents dislodgment rates of various diameters (a vs. b, c, or d: P < ). Clinical Gastroenterology and Hepatology 2004 2, DOI: ( /S (04)00062-X)

8 Figure 7 Polyethylene stent-induced pancreatic ductal changes. Data on 5F stent from Smith et al.2 Clinical Gastroenterology and Hepatology 2004 2, DOI: ( /S (04)00062-X)


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