Endoscopic removal of proximally migrated pancreatic stent by a grasping tripod.

A 30−year−old man was referred for an en− doscopic removal of proximally migrated pancreatic stent. At our institution, the in− itial attempt by endoscopic removal using a snare, basket and balloon extraction failed. The distal tip of the stent was im− pacted at the side wall of the pancreatic duct. A rat−tooth forceps was also tried and was able to access the tip of the stent. Unfortunately, it could not be opened fully due to the small size of the pancreat− ic duct. During subsequent endoscopic retrograde cholangiopancreatography, a Caesar grasping tripod (Wilson−Cook, Winston−Salem, North Carolina) was used. Within the first attempt, the tripod was able to grasp the tip of the stent firm− ly enough to allow stent removal (Figure 1 and 2).