Services

• Diagnostic Upper GI Endoscopy, Gastroscopy
• Diagnostic Lower GI Endoscopy, Colonoscopy
• Diagnostic Enteroscopy

Therapeutic Upper GI Endoscopy

• Esophageal Stricture Dilatation
• Esophageal Variceal Band Ligation
• Esophageal Polyp Removal
• Gastric Variceal Glue Injection
• APC for Gastric Telangiectasias
• Peptic Ulcer Disease Endoscopic Treatment
• Foreign Body Removal
• Percutaneous Endoscopic Gastrostomy
• Balloon Dilatation for Gastro Outlet Obstruction
• Esophageal Metal Stenting for Advanced Malignancy
• Gastric and Duodenal Stenting for Advanced Malignancy
• Endoscopic Bariatric Balloon Placement

Therapeutic Lower GI Endoscopy (Colonoscopy)

• Colonoscopic Polypectomy
• Colonic Balloon Dilatation
• Colonic Decompression for Colonic Psuedo Obstruction

Interventional ERCP

• Removal of Bile and Pancreatic Duct Stones
• Pancreatic and Bile Duct Stenting
• Intraductal Cholangio-Pancreatoscopy for Large Bile Duct and Pancreatic Duct Stones

Interventional EUS

• Diagnosis and staging of Malignancy, Tissue Diagnosis by FNAC / FNAB
• Pancreatic and Bile Duct Drainage
• Pancreatic Fluid Collection Drainage

Third Space Endoscopy

• POEM
• Endoscopic Mucosal Resection
• Endoscopic Submucosal Dissection

Pancreatic and Bile Duct Stenting

Pancreatic and bile duct stenting is a minimally invasive endoscopic procedure used to treat blockages or narrowing (strictures) in the bile duct or pancreatic duct. These ducts are essential for digestion, and any obstruction can lead to serious symptoms like jaundice, abdominal pain, or pancreatitis.

A stent is a small, hollow tube (usually plastic or metal) inserted into the duct to keep it open and allow normal flow of bile or pancreatic juices.

When is duct stenting needed?

Stenting is commonly used to relieve blockages caused by:

• Gallstones
• Pancreatitis (acute or chronic)
• Strictures due to inflammation or surgery
• Tumors or cancers of the pancreas, bile duct, or nearby organs
• Post-surgical complications or bile leaks

How is the stenting procedure performed?

Stenting is usually done during a procedure called ERCP (Endoscopic Retrograde Cholangiopancreatography):

• A flexible endoscope is passed through the mouth into the small intestine.
• A catheter is inserted into the bile or pancreatic duct.
• After imaging and assessment, a stent is placed across the blockage to restore flow.
• The stent can be:
  Plastic (temporary, usually removed or replaced in weeks to months)
  Metal (longer-lasting, often used in cancer cases)

Benefits of stenting:

• Relieves symptoms quickly, including pain, jaundice, and nausea
• Helps treat or prevent infection (cholangitis or pancreatitis)
• Can be used to manage inoperable cancers
• Minimally invasive, with faster recovery than surgery

Is stenting safe?

Yes, the procedure is safe and effective when performed by skilled gastroenterologists. Possible but rare complications include:

• Stent blockage or migration
• Mild pancreatitis or bleeding
• Infection, which is preventable with antibiotics if needed

Aftercare and follow-up:

• Patients can often return home the same day or after a short hospital stay.
• Follow-up imaging or endoscopy may be scheduled to assess stent function.
• Stents may need to be replaced or removed after a few weeks or months, depending on the underlying condition.

Pancreatic and bile duct stenting is a crucial tool in managing digestive duct disorders, offering a safe, quick, and effective solution.