A 14-year-old boy was admitted for acute pancreatitis secondary to pancreas divisum. The patient failed to improve with conservative management. In addition, two separate conventional endoscopic retrograde cholangiopancreatographies (ERCPs) were attempted for endoscopic stenting for pancreas divisum. However both were unsuccessful in cannulation of the pancreatic duct despite secretin injection...

pandable metallic stents (SEMS) has been increasingly reported [1–3]. Migration is one of the complications with covered SEMS, and a recently developed covered WallFlex stent (Boston Scientific, Natick, MA, USA) has flared ends to prevent migration. We experienced difficulty in removal of a partially covered WallFlex stent because of embedment of this flared proximal end. Here we describe a new...

The standard endoscopic ultrasound (EUS) approach of cystogastrostomy involves the use of series of plastic pigtail stents that are placed through the wall of the cyst. The use of a single stent has also been described in the literature. Here we describe five cases of EUS-guided cystogastrostomy with irrigation of infected pancreatic pseudocysts using a single self-expandable metal stent (SEMS)...

An 11-year-old boy was admitted to the emergency department with severe abdominal pain and vomiting after falling off his bicycle. A round hematoma was noted in the left hypochondrium consistent with bicycle handlebar trauma. Blood analysis showed mild leucocytosis and marked elevation of lipase (2507U/L) and amylase (1331U/L). Abdominal ultrasound excluded spleen injury, and thoracic X-ray was...

A 66-year-old woman presented with abdominal discomfort. Contrast-enhanced CT revealed a mass in the pancreas and multiple liver metastases. Pathological examination confirmed the mass to be primary pancreatic cancer. Endoscopic insertion of a biliary stent was performed to prevent common bile duct obstruction. Subsequently, she received combination chemotherapy, which resulted in a complete re...

Endoscopic ultrasound (EUS)-guided [1, 2] or percutaneous [3] rendezvous methods have been used for the treatment of stenosis at the jejunopancreatic anastomosis following pancreatoduodenectomy. However, the use of EUS-guided retrograde pancreatic duct stenting has not been reported, even though it may be preferable from the point of view of complications. A 50-year-old man, who had been suffer...

ultrasonography-guided hepaticogastrostomy: a novel re-intervention method Endoscopic ultrasonography-guided hepaticogastrostomy (EUS-HGS) is increasingly used to manage failed endoscopic biliary drainage inpatientswithmalignant biliary obstruction [1–3]. A recent study showed that, for EUS-HGS, a stent ≥3cm in length in the luminal portion may be suitable to prevent stent migration and achieve...

CONTEXT Pancreaticoduodenectomy is the gold standard for patients with resectable periampullary carcinoma. The protection of the anastomosis by positioning of an intraluminal stent is a technique used to lower the frequency of anastomotic fistulas. However the use of anastomotic stents is still debated and stent related complications are reported. CASE REPORT A fifty-three-year old male under...

Biliary stent migration is one of the late complications endoscopic retrograde cholangiopancreatography. Most biliary asymptomatic and successfully managed by removal. A 66-year-old man with unresectable pancreatic cancer, common bile duct obstruction, duodenal third portion obstruction underwent plastic placement uncovered metallic in two separate sessions. After 3 weeks from stenting, he pres...