Curbside Consultation of the Pancreas: 49 Clinical Questions

Scott Tenner, MD, MPH; Alphonso Brown, MD, MS Clin Epi; Frank Gress, MD

Question 48: When Should A Pancreatic Duct Stent Be Used? (continued)

Ian Wall, DO; Robin Baradarian, MD, FACG

Flow of pancreatic juices can be impeded through a variety of changes within the duct itself or in the pancreatic portion of the sphincter of Oddi (SOD). This impedance can lead to intraductal hypertension and result in pain or pancreatic inflammation depending on the etiology and its acuity of onset. The etiology of impedance to ductal flow of pancreatic juices can broadly be divided into pancreatic duct obstruction and duct interruption. The primary goal of pancreatic duct stenting, regardless of the disease process, is to restore appropriate flow of pancreatic juices through the pancreatic…
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