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Publication Name World Journal of Gastrointestinal Endoscopy
Manuscript ID 116517
Country Egypt
Category Medicine, General & Internal
Manuscript Type Editorial
Article Title Stent selection in elderly biliary drainage: A pragmatic guide from benign to malignant
Manuscript Source Invited Manuscript
All Author List Amira A A Othman
Funding Agency and Grant Number
Corresponding Author Amira A A Othman, Lecturer, MD, PhD, Principal Investigator, Department of Internal Medicine, Suez University, Cairo-Suez Road, Suez 43511, Egypt. amira.othman@med.suezuni.edu.eg
Key Words Endoscopic ultrasound-guided biliary drainage; Elderly; Stent selection; Clinical decision-making; Biliary obstruction
Core Tip With population aging, endoscopic ultrasound-guided biliary drainage is increasingly performed in frail, comorbid patients. The study by Sugimoto et al provides critical evidence that stent selection in elderly patients should be individualized: Plastic stents are suitable for benign conditions due to easier exchange and reintervention, while metal stents better serve malignant obstruction by offering longer patency and reducing repeat procedures. This editorial integrates their results into a pragmatic, patient-centered framework for geriatric endoscopic practice and underscores the urgent need for prospective, multicenter studies to define optimal stent choice and procedural strategies in this vulnerable population.
Citation

Othman AAA. Stent selection in elderly biliary drainage: A pragmatic guide from benign to malignant. World J Gastrointest Endosc 2026; 18(1): 116517

Received
2025-11-13 04:51
Peer-Review Started
2025-11-13 04:51
First Decision by Editorial Office Director
2025-11-30 01:26
Return for Revision
2025-11-30 01:26
Revised
2025-11-30 19:20
Publication Fee Transferred
Second Decision by Editor
2026-01-04 02:34
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director
2026-01-04 14:57
Articles in Press
2026-01-04 14:57
Edit the Manuscript by Language Editor
Typeset the Manuscript
2026-01-05 09:42
ISSN 1948-5190 (online)
Open Access This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
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