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Removal of a migrated biliary stent using new digital cholangioscopy retrieval devices in a transplant patient
- Source :
- Dipòsit Digital de la UB, Universidad de Barcelona
- Publication Year :
- 2019
- Publisher :
- Georg Thieme Verlag, 2019.
-
Abstract
- A 51-year-old man who had undergone liver transplantation developed a symptomatic anastomotic biliary stricture 23 months after surgery. Endoscopic biliary therapy via endoscopic retrograde cholangiopancreatography (ERCP) was planned. Progressive biliary balloon dilation of the stenosis was performed, with placement of three coaxial plastic stents (8.5-Fr × 12 cm, 8.5-Fr × 9 cm, and 10-Fr × 12 cm; Advanix, Boston Scientific, Natick, Massachusetts, USA). During an endoscopy to replace the stents, fluoroscopy revealed proximal migration of an 8.5-Fr plastic stent at the level of the cystic insertion ([Fig. 1]). Several failed extraction attempts were made using the standard ERCP techniques (i. e. extractor balloon, Lasso technique, and others) [1] [2]. Single-operator peroral intraductal cholangioscopy (SpyGlass DS direct visualization system, Boston Scientific) confirmed impaction of the distal end of the proximally migrated stent, located 3 cm proximally to the duodenal papilla. An attempt to mobilize the migrated stent was made using biopsy forceps (SpyBite, Boston Scientific), without success.
- Subjects :
- Cholangiopancreatography, Endoscopic Retrograde
Male
medicine.medical_specialty
Transplantation of organs
business.industry
Gastroenterology
MEDLINE
Middle Aged
Video-Audio Media
Endoscopic retrograde cholangiopancreatograph
Trasplantament d'òrgans
Text mining
Foreign-Body Migration
Biliary tract
medicine
Humans
Biliary stent
Colangiopancreaticografia retrògrada endoscòpica
Stents
Transplant patient
Radiology
Biliary Tract
business
Device Removal
Subjects
Details
- Database :
- OpenAIRE
- Journal :
- Dipòsit Digital de la UB, Universidad de Barcelona
- Accession number :
- edsair.doi.dedup.....2f7c179d2b2e5c6ef97195a1a5a06e42