GastroLearning Top Tips: Pigtail Stenting of the Bile Duct

A bread and butter practice for every ERCPist has lots of pitfalls for the training endoscopist. Dr George Webster gives an overview of what they are and how to avoid them!
At Gastro Learning we have a wealth of experience in delivering high-quality, interactive Gastroenterology education. We have organised numerous national and international conferences and have pioneered in the development of interactive educational platforms that have enhanced participant experience. This, along with our background of being expert faculty on a huge number of conferences worldwide, means we are ideally placed to deliver a successful educational experience.
Visit our website at:
www.gastrolearning.com/
Our goal is to meet the challenging demands of clinicians, and through our website you can:
➡️ View live cases
➡️ Interact with course attendees and faculty
➡️ View lectures
➡️ Browse learning materials
➡️ Share knowledge with and learn from other professionals
View our upcoming events at:
www.gastrolearning.com/events
Register for FREE weekly content at:
www.gastrolearning.com/register
Follow us on social media:
Facebook: / gastrolearni. .
Twitter: / gastrolearn
LinkedIn: / gast. .
Email: [e-mail]

[@Nobody18718]

Thank you for the videos. I'm a new tech and find this very helpful

[@hrekkjavaka83]

I had a pigtail stent placed on Monday (no chance of getting the stone out) and this has cleared up a bunch of questions I wanted to ask.

[@TeslaRoadtrips]

Very helpful. Keep the content coming.

[@pradiptamishra5061]

I am 63 years old. After having ERCP twice pigtail stent was inserted replaced by SEMS after six months.

[@EndoOC]

We use double pigtail regularly for hilar strictures and do not see the problem you mentioned. We use 8.5 Fr. though; could this be the reason?

[@gastrolearning5922]

Because pigtail stents are narrow they're not designed to drain bile through them - but round them. Placing a few pigtail stents through a hilar stricture may therefore create enough space for the bile to drain through. However, a 10Fr straight stent is preferable (until a tissue diagnosis is confirmed)