Proximally migrated pancreatic stent successfully removed using needle-knife and forceps: Complication after precut papillotomy assisted by pancreatic stenting

被引：3
|
作者：
Matsubayashi, Hiroyuki [1 ]
Ooka, Shohei [1 ]
Kimura, Hirokazu [1 ]
Sawai, Hiroaki [1 ]
Kakushima, Naomi [1 ]
Tanaka, Masaki [1 ]
Goggins, Michael [2 ]
Ono, Hiroyuki [1 ]
机构：
[1] Shizuoka Canc Ctr, Div Endoscopy, Shizuoka 4118777, Japan
[2] Johns Hopkins Med Inst, Dept Med, Baltimore, MD 21205 USA
来源：
CLINICS AND RESEARCH IN HEPATOLOGY AND GASTROENTEROLOGY | 2011年 / 35卷 / 04期
关键词：
POST-ERCP PANCREATITIS; RANDOMIZED CONTROLLED-TRIALS; BILE-DUCT CANNULATION; ENDOSCOPIC RETRIEVAL; SPHINCTEROTOMY; METAANALYSIS; PLACEMENT; BILIARY;
D O I：
10.1016/j.clinre.2010.12.003
中图分类号：
R57 [消化系及腹部疾病];
学科分类号：
摘要：
Pancreatic stent-assisted ampullary precut papillotomy is a rescue method for cases with difficult bile duct cannulation during endoscopic retrograde cholangiopancreatography (ERCP). We describe a case in which post-ERCP pancreatitis (PEP) developed due to the proximal migration of pancreatic stent, after precut papillotomy. Removal of the migrated pancreatic stent was achieved after needle-knife incision of the pancreatic duct's orifice followed by retrieval of the stent using rat-tooth forceps, which resulted in rapid resolution of the PEP. Caution is needed when pancreatic stent is placed after papillary incision. Needle-knife incision of the pancreatic duct orifice followed by forceps removal is an effective technique for rescuing pancreatic stent migration. (C) 2011 Elsevier Masson SAS. All rights reserved.
引用
收藏
页码：321 / 324
页数：4
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