SAGES Magazine

THE SOUTH AFRICAN GASTROENTEROLOGY REVIEW 2022 | VOLUME 20 | ISSUE 3 | 62 ERCP | A GUIDE FOR NURSES AND ASSISTANTS | Re-printed with permission Occasionally I will place a pigtail stent through the centre of the stent or even clip the lasso (which is visible on the photo here - this is one of our photos - I’ve clearly gone a bit overboard to try and keep this stent in place) to the duodenal wall to prevent migration, but I am hoping there will be an improvement of the design soon. The COOK delivery system of these stents could not be any simpler really and has made accurate placement of these stents fairly straightforward. The knack is to squeeze the trigger half way and to keep the yellow cuff or mesh itself visible on the screen in one place . 3 6 ! 99 Biliary/Pancreatic - Metal Stents Cook Medical Evolution® Biliary Controlled-Release Stent - Partially Covered Not for sale in the USA. Used in palliation of malignant neoplasms in the biliary tree. Order Number Reference Part Number Introducer Size Fr Body Diameter mm Stent Flange Diameter mm Stent Length cm Wire Guide Diameter inch MR Status Minimum Accessory Channel mm G23136 EVO-PC-8-9-6-B* 8.5 8 9 6 .035 3.2 G23137 EVO-PC-8-9-8-B* 8.5 8 9 8 .035 3.2 G23138 EVO-PC-10-11-4-B* 8.5 10 11 4 .035 3.2 G23139 EVO-PC-10-11-6-B* 8.5 10 11 6 .035 3.2 G23140 EVO-PC-10-11-8-B* 8.5 10 11 8 .035 3.2 Some products or part numbers may not be available in all markets. Contact your local Cook representative or Customer Service for details regarding: stock/non-stock status (expect longer lead time if non-stock), pricing and/or availability. Warning: The safety and e ectiveness of this device for use in the vascular system have not been established. *Check for availability.