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Stent Choice in Biliary Drainage for Pancreatic Cancer: No Survival Advantage

Surgeons need to know that plastic and metal stents show similar long-term outcomes in patients with pancreatic ductal adenocarcinoma undergoing preoperative biliary drainage.

  • Among over 6,500 patients, overall survival and recurrence-free survival were not significantly different between plastic and metal stents.
  • Postoperative complications also showed no significant differences between stent types.

Stent selection should be based on drainage duration and treatment strategies rather than presumed prognostic outcomes.

  • No survival differences were found when comparing endoscopic and percutaneous drainage methods.

Journal Article by Nagai K, Hirakawa S (…) Masamune A et 15 al. in Gastrointest Endosc

Copyright © 2026. Published by Elsevier Inc.

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