Disposable digital percutaneous cholangioscope-aided retrieval of a plastic biliary stent after failed retrieval at ERCP
نویسندگان
چکیده
منابع مشابه
Percutaneous retrieval of a biliary stent after migration and ileal perforation
We present a case of a migrated biliary stent that resulted in a distal small bowel perforation, abscess formation and high grade partial small bowel obstruction in a medically stable patient without signs of sepsis or diffuse peritonitis. We performed a percutaneous drainage of the abscess followed by percutaneous retrieval of the stent. The entero-peritoneal fistula closed spontaneously with ...
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Endoscopic biliary stent placement is a well-established technique for various indications including biliary drainage. However, it has been shown that approximately 5% of plastic stents placed in the biliary tract migrate proximally [1]. Endoscopic retrieval of proximally migrated biliary stents is technically challenging and occasionally unsuccessful. Several techniques for retrieving proximal...
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BACKGROUND AND STUDY AIMS Selective biliary cannulation is unsuccessful in 5 % to 10 % of patients undergoing endoscopic retrograde cholangiopancreatography (ERCP) for malignant distal biliary obstruction (MDBO). Percutaneous biliary drainage (PBD) has been the gold standard, but endoscopic ultrasound guided rendezvous (EUSr) have been increasingly used for biliary decompression in this patient...
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Portal biliopathy or portal cavernoma cholangiopathy refers to cholangiographic abnormalities, which occur in patients with portal cavernoma. These include shallow bile duct impressions and indentations causing wall irregularity, smooth strictures with upstream dilatation, and luminal filling defects (▶Fig. 1, ▶Fig. 2). These changes occur as a result of pressure on bile ducts from bridging tor...
متن کاملMechanisms of Biliary Plastic Stent Occlusion and Efforts at Prevention
Biliary stenting via endoscopic retrograde cholangiopancreatography has greatly improved the quality of patient care over the last 30 years. Plastic stent occlusion limits the life span of such stents. Attempts to improve plastic stent patency duration have mostly failed. Metal stents (self-expandable metal stents [SEMSs]) have therefore replaced plastic stents, especially for malignant biliary...
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ژورنال
عنوان ژورنال: VideoGIE
سال: 2021
ISSN: 2468-4481
DOI: 10.1016/j.vgie.2021.05.015