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132 Despite the potential ability to maintain dilation and prevent rapid re-occlusion of a stenosed bile duct, stenting carries multiple disadvantages, including: (i) the need for repeating ERCP for stent removal, (ii) the risk of worsening cholestasis and the development of cholangitis if re-occlusions are to occur, and (iii) an increased risk for bacterial translocation and colonization of the biliary tree