{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T11:35:45Z","timestamp":1790249745515,"version":"4.1.0"},"reference-count":29,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2019,1,24]],"date-time":"2019-01-24T00:00:00Z","timestamp":1548288000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Digestive Endoscopy"],"published-print":{"date-parts":[[2019,5]]},"abstract":"<jats:sec><jats:title>Background and Aim<\/jats:title><jats:p>Pancreatic plastic stents (<jats:styled-content style=\"fixed-case\">PPS<\/jats:styled-content>) can reduce the risk of post\u2010endoscopic retrograde cholangiopancreatography pancreatitis (<jats:styled-content style=\"fixed-case\">PEP<\/jats:styled-content>). Prospective multicenter documentation of <jats:styled-content style=\"fixed-case\">PEP<\/jats:styled-content> rate after <jats:styled-content style=\"fixed-case\">PPS<\/jats:styled-content> placement is scarce. A new 4\u2010Fr stent designed to be deployed over a 0.035\u2010inch guidewire was used to assess the effectiveness of <jats:styled-content style=\"fixed-case\">PEP<\/jats:styled-content> prophylaxis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>High\u2010<jats:styled-content style=\"fixed-case\">PEP<\/jats:styled-content>\u2010risk patients received a 4\u2010Fr <jats:styled-content style=\"fixed-case\">PPS<\/jats:styled-content> for primary or secondary prophylaxis at seven centers in four countries. Patients were followed until spontaneous <jats:styled-content style=\"fixed-case\">PPS<\/jats:styled-content> migration, endoscopic stent removal, or for 4\u00a0months, whichever came first. Main outcome was <jats:styled-content style=\"fixed-case\">PEP<\/jats:styled-content> rate.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>One hundred six (106) patients received <jats:styled-content style=\"fixed-case\">PPS<\/jats:styled-content> for <jats:styled-content style=\"fixed-case\">PEP<\/jats:styled-content> prophylaxis [61 (58%) primary, 45 (42%) secondary prophylaxis]. Median age was 54 years. Eighty\u2010one (76%) <jats:styled-content style=\"fixed-case\">PPS<\/jats:styled-content> were placed using a 0.035\u2010inch guidewire. By investigator choice 99 (93%) stents were single pigtail. Median stent length was 8\u00a0cm (range 3\u201312\u00a0cm). Technical success achieved in 100% of cases. Two patients in the primary prophylaxis group (3%, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 0.4\u201311%) experienced mild\/moderate <jats:styled-content style=\"fixed-case\">PEP<\/jats:styled-content>. Seventy\u2010eight <jats:styled-content style=\"fixed-case\">PPS<\/jats:styled-content> available for analysis underwent spontaneous migration after a median of 29\u00a0days. There were no reports of stent\u2010induced ductal trauma. Post\u2010hoc analysis of migration rate by <jats:styled-content style=\"fixed-case\">PPS<\/jats:styled-content> length showed no statistically significant trend.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Among high\u2010risk patients in the primary prophylaxis group, observed rates of <jats:styled-content style=\"fixed-case\">PEP<\/jats:styled-content> are low (3%, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 0.4\u201311%) with the use of prophylactic 4\u2010Fr pancreatic duct stents compatible with a 0.035\u2010inch guidewire. This low rate is not unequivocally due to the prophylactic stent.<\/jats:p><\/jats:sec>","DOI":"10.1111\/den.13311","type":"journal-article","created":{"date-parts":[[2018,12,1]],"date-time":"2018-12-01T12:48:34Z","timestamp":1543668514000},"page":"299-306","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Reducing the risk of post\u2010endoscopic retrograde cholangiopancreatography pancreatitis using 4\u2010Fr pancreatic plastic stents placed with common\u2010type guidewires: Results from a prospective multinational registry"],"prefix":"10.1111","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9347-2258","authenticated-orcid":false,"given":"Nadav","family":"Sahar","sequence":"first","affiliation":[{"name":"Virginia Mason Medical Center Seattle"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Ross","sequence":"additional","affiliation":[{"name":"Virginia Mason Medical Center Seattle"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7562-8060","authenticated-orcid":false,"given":"Sundeep","family":"Lakhtakia","sequence":"additional","affiliation":[{"name":"Asian Institute of Gastroenterology Hyderabad India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gregory A.","family":"Cot\u00e9","sequence":"additional","affiliation":[{"name":"Medical University of South Carolina Charleston"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Horst","family":"Neuhaus","sequence":"additional","affiliation":[{"name":"Evangelical Hospital Dusseldorf Dusseldorf Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marco J.","family":"Bruno","sequence":"additional","affiliation":[{"name":"Erasmus MC University Medical Center Rotterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oleh","family":"Haluszka","sequence":"additional","affiliation":[{"name":"Temple University Health System Philadelphia"},{"name":"Southern Arizona VA Health Care System Tucson"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard","family":"Kozarek","sequence":"additional","affiliation":[{"name":"Virginia Mason Medical Center Seattle"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohan","family":"Ramchandani","sequence":"additional","affiliation":[{"name":"Asian Institute of Gastroenterology Hyderabad India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3071-0428","authenticated-orcid":false,"given":"Torsten","family":"Beyna","sequence":"additional","affiliation":[{"name":"Evangelical Hospital Dusseldorf Dusseldorf Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jan W.","family":"Poley","sequence":"additional","affiliation":[{"name":"Erasmus MC University Medical Center Rotterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Maranki","sequence":"additional","affiliation":[{"name":"Temple University Health System Philadelphia"},{"name":"Penn State Milton S. 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