Wire-Guided Endoscopic Snare Retrieval of Proximally Migrated Pancreatic Stents after Endoscopic Papillectomy for Ampullary Adenoma.
- Author:
La Young YOON
1
;
Jong Ho MOON
;
Hyun Jong CHOI
;
Seul Ki MIN
;
Sang Woo CHA
;
Young Koog CHEON
;
Young Deok CHO
;
Moon Sung LEE
;
Jae Seon KIM
Author Information
1. Digestive Disease Center, Department of Internal Medicine, Soon Chun Hyang University School of Medicine, Bucheon and Seoul, Korea. jhmoon@schmc.ac.kr
- Publication Type:Case Report
- Keywords:
Endoscopic papillectomy;
Migrated pancreatic stent;
Endoscopic retrieval
- MeSH:
Adenoma;
Humans;
Pancreatic Ducts;
Pancreatitis;
SNARE Proteins;
Stents
- From:Gut and Liver
2011;5(4):532-535
- CountryRepublic of Korea
- Language:English
-
Abstract:
With the increasing use of pancreatic duct (PD) stents after endoscopic papillectomy (EP), complications such as proximal migration of the stent have become increasingly prevalent. A PD stent that migrates within a nondilated PD may be difficult to remove endoscopically. We performed endoscopic retrieval of proximally migrated PD stents after EP in 5 patients. Endoscopic retrieval was performed immediately after EP in one patient, the next day in 3 patients, and 2 weeks later in one patient. Wire-guided endoscopic retrieval was attempted in 4 patients, and the migrated stents were removed successfully in these 4 patients. No significant procedure-related complications occurred, other than mild pancreatitis in a single patient. In one patient, endoscopic retrieval performed immediately after EP failed when using the conventional method, and the migrated stent was removed using a minisnare without a guidewire the next day; this patient developed severe pancreatitis. Wire-guided endoscopic snare retrieval seems to be a safe and effective method for removing proximally migrated PD stents after EP.
