Wire-guided endoscopic snare retrieval of proximally migrated pancreatic stents after endoscopic papillectomy for ampullary adenoma

La Young Yoon, Jong Ho Moon, Hyun Jong Choi, Seul Ki Min, Sang Woo Cha, Young Koog Cheon, Young Deok Cho, Moon Sung Lee, Jae Seon Kim

Research output: Contribution to journalArticle

4 Citations (Scopus)

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.

Original languageEnglish
Pages (from-to)532-535
Number of pages4
JournalGut and liver
Volume5
Issue number4
DOIs
Publication statusPublished - 2011 Dec 1

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Keywords

  • Endoscopic papillectomy
  • Endoscopic retrieval
  • Migrated pancreatic stent

ASJC Scopus subject areas

  • Hepatology
  • Gastroenterology

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