Pull the stent! Variability of prophylactic pancreatic stent placement and removal: The PIRATE Survey

Authors	ZIMMERLI M DE MADARIA E DIENINYTE E PAULA D S SCHLOSSER S WANNHOFF A BUYRUK A M GUILABERT L KUNOVSKÝ Lumír MOHAMED A FEIDEN A WELSCH L REICHERMEI
Year of publication	2025
Type	Conference abstract
MU Faculty or unit	Faculty of Medicine
Citation
Description	Prophylactic pancreatic stent placement (PPSP) is recommended in highrisk patients during endoscopic retrograde cholangiopancreatography (ERCP) to prevent post-ERCP pancreatitis (PEP). However, only two guidelines, including the European Society of Gastrointestinal Endoscopy (ESGE), provide advice on how, when, and if PPS should be removed. The ESGE advises evaluating stent passage within 5–10 days and endoscopic removal, with stents remaining in place for a minimum of 12–24 hours. Literature indicates that 80–90 % of PPS pass spontaneously, with few complications of non-removal reported. Documented complications of PPS removal, although rare, include perforation, bleeding, stent fracture, migration, and occlusion. This survey aimed at interrogating practice of PPSP and removal.