A successful biliary stent removal after trimming the duodenal metallic stent using argon plasma coagulation
نویسندگان
چکیده
منابع مشابه
Trimming of a Migrated Biliary Nitinol Stent Using Argon Plasma
Metallic stent migration is a well-known complication which cannot always be managed by removal or repositioning, especially in case of uncovered stent. We report a patient who developed obstructive jaundice due to migration of an expandable metallic stent (EMS) inserted in the lower bile duct. Trimming of the EMS using argon plasma was performed, with the power setting of 60 W and 2.0 l/min of...
متن کاملSuccessful re-intervention with metal stent trimming using argon plasma coagulation after endoscopic ultrasound-guided hepaticogastrostomy.
Recently, endoscopic ultrasound (EUS)guided biliary drainage has been introduced as an alternative method after failed endoscopic biliary drainage, particularly in patients with a pre-existing duodenal obstruction [1–3]. A longer self-expandable metal stent (SEMS) is usually used for EUS-guided hepaticogastrostomy (EUS-HGS) to prevent stent migration. However, re-intervention after EUS-HGS is c...
متن کاملEndoscopic Removal of a Proximally Migrated Metal Stent during Balloon Sweeping after Stent Trimming
Placement of a self-expanding metal stent (SEMS) is an effective method for palliation of a malignant biliary obstruction. However, metal stents can cause various complications, including stent migration. Distally migrated metal stents, particularly covered SEMS, can be removed successfully in most cases. Stent trimming using argon plasma coagulation may be helpful in difficult cases despite co...
متن کاملBiliary stent migration with duodenal perforation.
Intestinal perforation from a migrated biliary stent is a known complication of endoscopic biliary stent placement. We present a case of stent migration and resultant duodenal perforation after stent placement for a malignant biliary stricture in a 52-year-old woman. We review the current literature on the diagnosis and management of stent migration and intestinal perforation after endoscopic s...
متن کاملRemoval of embedded uncovered duodenal stent after 8-month indwelling.
Uncovered self-expandablemetallic stents (SEMSs) are used to treat malignant obstruction. Removal of SEMSs using scissor forceps, a loop cutter, and the wire-loop technique has been reported anecdotally [1,2]. Argon plasma coagulation (APC) is mainly used for trimming SEMSs, but is not used to attempt removal because of the risk of injury to the duodenal mucosa [3,4]. We report a case of a 60-y...
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ژورنال
عنوان ژورنال: Progress of Digestive Endoscopy
سال: 2015
ISSN: 1348-9844,2187-4999
DOI: 10.11641/pde.87.1_154