Wire-Guided Endoscopic Snare Retrieval of Proximally Migrated Pancreatic Stents after Endoscopic Papillectomy for Ampullary Adenoma
- Authors
- Yoon, La Young; Moon, Jong Ho; Choi, Hyun Jong; Min, Seul Ki; Cha, Sang-Woo; Cheon, Young Koog; Cho, Young Deok; Lee, Moon Sung; Kim, Jae Seon
- Issue Date
- Dec-2011
- Publisher
- EDITORIAL OFFICE GUT & LIVER
- Keywords
- Endoscopic papillectomy; Migrated pancreatic stent; Endoscopic retrieval
- Citation
- GUT AND LIVER, v.5, no.4, pp 532 - 535
- Pages
- 4
- Indexed
- SCIE
SCOPUS
KCICANDI
- Journal Title
- GUT AND LIVER
- Volume
- 5
- Number
- 4
- Start Page
- 532
- End Page
- 535
- URI
- https://scholarworks.korea.ac.kr/kumedicine/handle/2020.sw.kumedicine/12955
- DOI
- 10.5009/gnl.2011.5.4.532
- ISSN
- 1976-2283
2005-1212
- 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. (Gut Liver 2011;5:532-535)
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- Appears in
Collections - 2. Clinical Science > Department of Gastroenterology and Hepatology > 1. Journal Articles
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