Pancreas And Biliary

Question 1

Describe benefits and disadvantages of fully covered metal stent e.g. Use in biliary obstruction

Answer 1

Ad - prevent rumour ingrowth

Dis - linked with cholecystitis, higher migration rate (compared to uncovered stent)

Question 2

Describe when the risk of post-sphincterotomy bleeding is higher

Answer 2

If restart anticoagulation within 72 hours.

In the presence of cholangitis