background: acute pancreatitis is a common complication of endoscopic retrograde cholangiopancreatography (ercp). several medical and surgical procedures have been analyzed in prevention of post-ercp pancreatitis as a major post-ercp complication, so we conducted a study to assess the role of prophylactic pancreatic stents on prevention and severity of post-ercp pancreatitis. materials and meth...

pancreatic stent proximal migration is a well known complication of pancreatic duct stenting, which occurs in about 5-6% of cases. serious complications should be avoided by retrieval of the stent via different endoscopic techniques. we report a new technique previously reported only once (in a pancreatic duct with underlying pathology), to remove the proximally migrated pancreatic stent in a n...

abstract autoimmune pancreatitis (aip) is a rare disorder that may be present as common bile duct stricture. the patient was a seventy-year-old man with presentations as recurrent abdominal pain and jaundice, elevated billirobin (bil) and elevated alkaline phosphatase (alkp) in association with the presence of hetrogenesity of the pancreatic head and dilated intra and extra hepatic bile ducts i...

A 57-year-old man underwent endoscopic retrograde cholangiopancreatography (ERCP) for multiple bile duct and gallbladder stones. During the ERCP, we attempted to insert a prophylactic 5-Fr, single pigtail pancreatic stent (Cook Endoscopy, Winston-Salem, North Carolina, United States) because biliary cannulation is difficult and the pancreatic duct is frequently cannulated unintentionally; howev...

BACKGROUND Prophylactic pancreatic stents after endoscopic retrograde cholangiopancreatography (ERCP) can help prevent post-ERCP pancreatitis. However most of the pancreatic stents need to be removed by another ERCP. The aim of this observational study was to investigate the feasibility and effectiveness of the modified pancreatic stent system for prevention of post-ERCP pancreatitis. METHODS...

A13-year-old boy, inwhoma10-Fr, 10-cm pancreatic stent hadbeenplaced3months earlier tomanage chronic pancreatitis and pain syndrome, was admitted for stent exchange. On endoscopic retrograde cholangiopancreatography, the pancreatic stent was not visible at the papilla. The pancreatic duct was cannulated with a 0.025-inch guidewire (VisiGlide; Olympus America, Center Valley, Pennsylvania, USA). ...

OBJECTIVE To evaluate the efficacy of transanastomotic pancreatic duct internal stenting in the reduction of postoperative pancreatic fistula (POPF) after pancreaticoduodenectomy. DESIGN Retrospective study. SETTING Mayo Clinic. PATIENTS Between January 1, 1999, and September 30, 2010, 553 patients underwent pancreaticoduodenectomy by a single surgeon. MAIN OUTCOME MEASURES Rates of POP...

atic duct stents is a recognized complication that occurs in up to 5.2% of patients [1], and stent retrieval is important to prevent long-term serious ductal damage. Reported techniques to remove proximally migrated pancreatic duct stents include balloon extraction, direct snare or forceps grasp, and wire cannulation with snare capture. We report a novel technique using the SpyGlass Direct Visu...

Endoscopic pancreatic stenting has been widely used in various pancreatic conditions. With the increasing use of pancreatic stents, many complications have been recognized. Especially, proximal stent migration presents a serious condition because of subsequent pancreatic duct obstruction, impaired drainage, ductal dilation, and pancreatic pain. Although endoscopic retrieval is the preferred tre...

BACKGROUND Temporary stent placement is widely performed for pancreatic duct stenosis due to chronic pancreatitis. A fully covered self-expandable metal stent (FCSEMS) has a larger diameter, and therefore longer stent patency, and the effect of expansion of the main pancreatic duct stricture may be obtained. However, if stent migration upstream occurs, stent removal is extremely difficult. In a...