Academic Journal
Successful Endoscopic Removal of a Biliary Stent with Stent-Stone Complex after Long-Term Migration
| العنوان: | Successful Endoscopic Removal of a Biliary Stent with Stent-Stone Complex after Long-Term Migration |
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| المؤلفون: | Masashi Morimachi, Masami Ogawa, Masashi Yokota, Aya Kawanishi, Yohei Kawashima, Tetsuya Mine |
| المصدر: | Case Reports in Gastroenterology, Vol 13, Iss 1, Pp 113-117 (2019) |
| بيانات النشر: | Karger Publishers, 2019. |
| سنة النشر: | 2019 |
| المجموعة: | LCC:Diseases of the digestive system. Gastroenterology |
| مصطلحات موضوعية: | Migrated biliary stent, Stent-stone complex, Endoscopic retrograde cholangiopancreatography, Diseases of the digestive system. Gastroenterology, RC799-869 |
| الوصف: | A 49-year-old man was referred to our hospital for an abnormality of the hepatobiliary enzyme. The patient was diagnosed with primary sclerosing cholangitis 9 years ago, and he had a biliary stent with a string placed as an inside stent. We attempted to remove the stent 6 months later, but the string was cut off, so the stent could not be removed. Removal was attempted again, but the patient cancelled the outpatient appointments. During the examination performed at the present visit, we discovered that the biliary stent had migrated into the bile duct, and a stone had formed around the stent. We attempted to remove the stent-stone complex by endoscopic retrograde cholangiopancreatography, but it was difficult; thus, we decided to implant a new biliary stent and remove the other stent later. When we performed endoscopic retrograde cholangiopancreatography again 2 days later, the bile duct axis was linearized thanks to the additional stent, enabling us to grab the migrated stent with stent-stone complex using grasping forceps and to successfully pull it out. By implanting an additional plastic stent temporarily, we were able to straighten the biliary axis and endoscopically remove the biliary stent that migrated and caused the development of stent-stone complex in a 2-staged approach. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 1662-0631 00049891 |
| Relation: | https://www.karger.com/Article/FullText/498914; https://doaj.org/toc/1662-0631 |
| DOI: | 10.1159/000498914 |
| URL الوصول: | https://doaj.org/article/08ee041dde0d45a99d9e7703ff4e5733 |
| رقم الانضمام: | edsdoj.08ee041dde0d45a99d9e7703ff4e5733 |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 16620631 00049891 |
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| DOI: | 10.1159/000498914 |