GASTROENTEROLOGICAL ENDOSCOPY
Online ISSN : 1884-5738
Print ISSN : 0387-1207
ISSN-L : 0387-1207
A CASE OF MIGRATED PANCREATIC STENT REMOVED BY A VASCULAR INTERVENTIONAL DEVICE
Asunaga KATOHideki MINEMATSUTomoko MAKISHIHiroshi CHIYODATakumi OHSHIROKenichi HANEDAYutaro OHNAKA
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2013 Volume 55 Issue 11 Pages 3598-3604

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Abstract
The patient was a 54-year-old woman with acute cholangitis. As cannulation for the bile duct was difficult, we chose to place a pancreatic stent to prevent post-ERCP pancreatitis. From abdominal CT, we found that the pancreatic stent had migrated into the body of the pancreas and decided to remove it. We chose to use the GooseNeckTM Microsnare, which is commonly used for vascular interventional procedures because the duct was so small that an endoscopic procedure seemed difficult. Our attempt at removal was successful. Cases of a migrated pancreatic stent might increase as endoscopic pancreatic stenting has been covered by insurance beginning in 2012. To our knowledge the use of the GooseNeckTM Microsnare for this purpose has not been reported yet. Here we report a case of a migrated pancreatic stent that was easily removed by the use of such a tool.
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© 2013 Japan Gastroenterological Endoscopy Society
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