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Cited 7 time in webofscience Cited 11 time in scopus
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Wire-Guided Endoscopic Snare Retrieval of Proximally Migrated Pancreatic Stents after Endoscopic Papillectomy for Ampullary Adenoma

Authors
Yoon, La YoungMoon, Jong HoChoi, Hyun JongMin, Seul KiCha, Sang-WooCheon, Young KoogCho, Young DeokLee, Moon SungKim, 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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Kim, Jae Seon
Guro Hospital (Department of Gastroenterology and Hepatology, Guro Hospital)
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