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Fracture of Self-Expandable Metal Stent during Endoscopic Removal in Benign Biliary Stricture

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초록

The endoscopic insertion of the self-expandable metal stent (SEMS) in benign biliary stricture has become an alternative to surgery. Fracture or migration of SEMS can occur rarely as complications. We report a case of fracture of SEMS during endoscopic retrieval in patients with chronic pancreatitis. In this case, broken stent was successfully removed with endoscopic ballooning of bile duct and with a snare device.

Abstract

The endoscopic insertion of the self-expandable metal stent (SEMS) in benign biliary stricture has become an alternative to surgery. Fracture or migration of SEMS can occur rarely as complications. We report a case of fracture of SEMS during endoscopic retrieval in patients with chronic pancreatitis. In this case, broken stent was successfully removed with endoscopic ballooning of bile duct and with a snare device.

참고문헌 (11)

  1. Bakhru MR, "Expandable metal stents for benign biliary disease", Gastrointest Endosc Clin N Am, 21, pp.447~462 (2011)
  2. Ell C, "Broken biliary metal stent after repeated electrocoagulation for tumor ingrowth", Gastrointest Endosc, 38, pp.197~199 (1992)
  3. Kahaleh M, "Removal of self-expandable metallic Wallstents", Gastrointest Endosc, 60, pp.640~644 (2004)
  4. Familiari P, "Endoscopic removal of malfunctioning biliary self-expandable metallic stents", Gastrointest Endosc, 62, pp.903~910 (2005)
  5. Sriram PV, "Spontaneous fracture of a biliary self-expanding metal stent", Endoscopy, 36, pp.1035~1036 (2004)
  6. Yoshida H, "Fracture of an expandable metallic stent placed for biliary obstruction due to common bile duct carcinoma", J Nippon Med Sch, 73, pp.164~168 (2006)
  7. Rasmussen IC, "Fractures of self-expanding metallic stents in periampullary malignant biliary obstruction", Acta Radiol, 50, pp.730~737 (2009)
  8. Humar A, "Pancreatitis and duodenal perforation as complications of an endoscopically placed biliary stent", Gastrointest Endosc, 40, pp.365~366 (1994)
  9. Tarnasky PR, "Snare beside-a-wire biliary stent exchange: a method that maintains access across biliary strictures", Gastrointest Endosc, 44, pp.185~187 (1996)
  10. Tarnasky PR, "Proximal migration of biliary stents: attempted endoscopic retrieval in forty-one patients", Gastrointest Endosc, 42, pp.513~520 (1995)
  11. Chaurasia OP, "Endoscopic techniques for retrieval of proximally migrated biliary stents: the Amsterdam experience", Gastrointest Endosc, 50, pp.780~785 (1999)

관련 논문AI추천

Functional Self-Expandable Metal Stents in Biliary Obstruction강대환, 고광현, 권창일, 함기백대한소화기내시경학회 · Clinical Endoscopy2013 · 제46권 제5호Wire-Guided Endoscopic Snare Retrieval of Proximally Migrated Pancreatic Stents after Endoscopic Papillectomy for Ampullary Adenoma김재선, 문종호, 이문성, 조영덕, 차상우, 천영국, Hyun Jong Choi, La Young Yoon, Seul Ki Min거트앤리버 소화기연관학회협의회 · Gut and Liver2011 · 제5권 제4호A prospective study of fully covered self-expandable metal stents for refractory benign pancreatic duct stricturesBhavik Bharat Shah, Gajanan Ashokrao Rodge, Mahesh Kumar Goenka, Shivaraj Afzalpurkar, Usha Goenka대한소화기내시경학회 · Clinical Endoscopy2022 · 제55권 제6호Benign biliary stricture caused by transduodenal lumen-apposing metal stent placement for pancreatic acute necrotic collectionHiroe Kosuke, Inatomi Osamu, Inoue Hiroto, Kimura Hidenori, Nishida Atsushi, Okamoto Takuya, Shintani Shuhei소화기인터벤션의학회 · International Journal of Gastrointestinal Intervention2025 · 제14권 제1호Stepwise Algorithmic Approach to Endoscopic Removal of Biliary Partially Covered and Uncovered Self-Expanding Metal StentsAssaf Stein, Deepanshu Jain, Muhammad K. Hasan대한소화기내시경학회 · Clinical Endoscopy2021 · 제54권 제4호Role of fully covered metal stents in the management of chronic pancreatitisHoonsub So, Sung Jo Bang, Younghun Jeon대한소화기내시경학회 · Clinical Endoscopy2025 · 제58권 제5호

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