Aim. To analyze the risk factors for pancreatic stent migration, dislocation, and fracture in chronic pancreatitis patients with pancreatic strictures. Materials and Methods. Endoscopic stent placements (total 386 times) were performed in 99 chronic pancreatitis patients with pancreatic duct stenosis at our institution between April 2006 and June 2014. We retrospectively examined the frequency ...

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...

A 79-year-oldman underwent endoscopic retrograde cholangiopancreatography (ERCP) for removal of stones in the common bile duct. The stones were removed successfully and a pancreatic stent was placed in the pancreatic duct to prevent post-ERCP pancreatitis. The next day the patient suddenly complained of abdominal pain; his serum amylase was 125U/L. At a second ERCP, we found that the stent had ...

The effectiveness of pancreatic stents for prevention of post-endoscopic retrograde cholangiopancreatography (ERCP) pancreatitis is widely recognized [1]. However, proximal migration of a pancreatic stent is occasionally encountered, potentially necessitating surgical intervention [2,3]. A gooseneck snare (Amplatz GooseNeck Microsnare Kit; Covidien, Irvine, California, USA), which was originall...

A 33-year-oldman underwent endoscopic retrograde cholangiopancreatography (ERCP) for removal of stones in the pancreatic duct. The stones were removed successfully and a plastic pancreatic duct stent (7Fr, 10cm; Wilson-Cook, WinstonSalem, North Carolina, USA) was placed in the pancreatic duct to prevent post-ERCP pancreatitis and obstruction. The patient was admitted 6 months later complaining ...

BACKGROUND Internal pancreatic fistula (IPF) is a well-recognized complication of pancreatic diseases. Although there have been many reports concerning IPF, the therapy for IPF still remains controversial. We herein report our experiences with endoscopic transpapillary pancreatic stent therapy for IPF and evaluate its validity. METHOD Six patients with IPF who presented at our department and ...

retrieve proximally migrated pancreatic stents [1,2]. The lasso technique involves inserting a guide wire through the lumen of the migrated stent followed by insertion of a partially opened polypectomy snare over the wire to grasp the stent [3]. We present the case of a 72-year-old woman with recurrent acute biliary pancreatitis, who underwent endoscopic retrograde cholangiopancreatography (ERC...

BACKGROUND AND STUDY AIMS Pancreatitis is one of the most frequent complications of endoscopic retrograde cholangiopancreatography (ERCP). The placement of a prophylactic pancreatic stent after ERCP can help prevent post-ERCP pancreatitis (PEP). We aimed to provide an up-to-date meta-analysis regarding pancreatic stent placement for prevention of PEP and review the immediate adverse events asso...

The histopathological diagnosis for periampullary tumours is difficult because the accuracy of papillary forceps biopsy is unsatisfactory. Precut papillotomy has recently been performed if endoscopic biliary cannulation is necessary but difficult. Precut papillotomy after placing a pancreatic stent decreases the risk of acute pancreatitis compared to without pancreatic stent. We describe an 80-...

Pancreatic ascites and effusion is a challenging complication to manage, hence our aim was to evaluate the efficacy of pancreatic endotherapy in pancreatic ascites and pleural effusion. Endotherapy included endoscopic retrograde cholangiopancreatography (ERCP) with a pancreatogram and pancreatic stent placement across the leak in patients with pancreatic ascites/effusion. A total of 53 patients...