Publication Name	World Journal of Gastrointestinal Surgery
Manuscript ID	120524
Country	Türkiye

Category	Surgery
Manuscript Type	Retrospective Cohort Study
Article Title	Fully covered metal vs plastic stents after failed endoscopic retrograde cholangiopancreatography: Impact on residual stones
Manuscript Source	Unsolicited Manuscript
All Author List	Emre Balli, Mehlika Bilgi Kirmaci, Ghulam Reza Shahryar and Sezgin Yilmaz
Funding Agency and Grant Number
Corresponding Author	Emre Balli, Assistant Professor, Department of General Surgery, Afyonkarahisar Health Sciences University, Afyonkarahisar Health Sciences University, Department of General Surgery, Afyonkarahisar, Turkey, Afyonkarahisar 03100, Türkiye. balliemre_88@hotmail.com
Key Words	Choledocholithiasis; Difficult bile duct stones; Endoscopic retrograde cholangiopancreatography; Plastic stent; Fully covered self-expandable metal stent; Bile duct clearance
Core Tip	This study compared the clinical efficacy of fully covered self-expandable metal stents and plastic stents in patients with difficult bile duct stones following unsuccessful initial endoscopic retrograde cholangiopancreatography (ERCP). In this retrospective single-center cohort, propensity score matching minimized selection bias and ensured baseline comparability. Residual stone rates at second-look ERCP were lower in the metal stent group. Re-intervention and repeat stenting were also reduced, while complication rates were similar between groups. Multivariate analysis identified metal stent placement as an independent predictor of ductal clearance. Temporary metal stent placement appears safe and clinically beneficial.
Citation	Balli E, Bilgi Kirmaci M, Shahryar GR, Yilmaz S. Fully covered metal vs plastic stents after failed endoscopic retrograde cholangiopancreatography: Impact on residual stones. World J Gastrointest Surg 2026; In press

Received	2026-03-01 08:39
Peer-Review Started	2026-03-01 08:40
First Decision by Editorial Office Director	2026-03-03 09:19
Return for Revision	2026-03-03 09:19
Revised	2026-03-12 07:01
Publication Fee Transferred	2026-03-13 09:04
Second Decision by Editor	2026-03-25 02:38
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director	2026-03-25 04:55
Articles in Press	2026-03-25 04:55
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	1948-9366 (online)
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Copyright	©Author(s) (or their employer(s)) 2026. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc.
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