Endoscopic retrieval of a migrated biliary stent into intrahepatic bile duct by using fine‐gauge biliary balloon dilation catheter

Ito, Takashi; Shimatani, Masaaki

doi:10.1111/den.13915

Cited by 3 publications

(5 citation statements)

References 4 publications

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“…A sheared guidewire remnant is occasionally encountered in endoscopic retrograde cholangiopancreatography‐related procedures. Some reports have described successful retrieval of migrated pancreatic and biliary stents, but retrieval of a thin sheared guidewire remnant is more challenging and rarely reported 1–3 . Here, we present a case in which a sheared guidewire remnant in a peripheral intrahepatic bile duct was successfully retrieved with microbiopsy forceps (Figs 1,2).…”

Section: Brief Explanationmentioning

confidence: 88%

Endoscopic retrieval of a sheared guidewire remnant with microbiopsy forceps from a peripheral intrahepatic bile duct

Hirakawa

Mukai

Itoi

2023

Digestive Endoscopy

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A SHEARED GUIDEWIRE remnant is occasionally encountered in endoscopic retrograde cholangiopancreatography-related procedures. Some reports have described successful retrieval of migrated pancreatic and biliary stents, but retrieval of a thin sheared guidewire remnant is more challenging and rarely reported. [1][2][3] Here, we present a case in which a sheared guidewire remnant in a peripheral intrahepatic bile duct was successfully retrieved with microbiopsy forceps (Figs 1,2).An 87-year-old woman was admitted to our hospital with acute cholangitis resulting from an intrahepatic bile duct stone (9 mm in size). Initially, endoscopic nasobiliary drainage was performed, and the patient's general condition

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Section: Brief Explanationmentioning

confidence: 88%

Endoscopic retrieval of a sheared guidewire remnant with microbiopsy forceps from a peripheral intrahepatic bile duct

Hirakawa

Mukai

Itoi

2023

Digestive Endoscopy

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“… 9 Recently, the efficacy of fine‐gauge biliary balloon dilation catheters for stent removal has also been reported. 10 …”

Section: Discussionmentioning

confidence: 99%

“…If there were no improvements, we had performed EUS‐guided pancreaticogastrostomy and percutaneous trans‐hepatic drainage for each case, and stent removal through the fistula would be attempted 9 . Recently, the efficacy of fine‐gauge biliary balloon dilation catheters for stent removal has also been reported 10 …”

Section: Discussionmentioning

confidence: 99%

“…9 Recently, the efficacy of fine-gauge biliary balloon dilation catheters for stent removal has also been reported. 10 Several reports have described the endoscopic removal of migrated pancreatic or bile duct stents in cases with normal anatomy. 7,8 Chaurasia et al 7 described a case involving the endoscopic removal of a migrated bile duct stent, and reported that the rate of overall successful endoscopic retrieval was 90% and that the stent could be removed by indirect balloon extraction in four of 41 (10%) cases and direct traction in 25 (61%) cases; the instruments were a forceps in three cases and a basket in 22.…”

Section: Ta B L E 1 Characteristics Of Patients and Proximally Migrat...mentioning

confidence: 99%

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Endoscopic removal of proximally migrated stents using a double‐balloon enteroscope in patients with bowel reconstruction (with video)

et al. 2021

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Endoscopic migrated stent removal using a balloon‐assisted enteroscope is technically difficult in patients with bowel reconstruction. We report the treatment outcomes and endoscopic removal methods for migrated stents using a double‐balloon enteroscope (DBE). We retrospectively studied 12 patients with stent migration into the main pancreatic duct (MPD) or bile duct who underwent bowel reconstruction between January 2012 and June 2020. The successful removal rates in the MPD ( n = 3) and the bile duct ( n = 9) were 66.7% (2/3) and 88.9% (8/9), respectively. The removal techniques included the indirect method ( n = 3), the direct method ( n = 4), and a combination of indirect and direct methods ( n = 3). The removal devices included an extraction balloon catheter ( n = 7), basket catheter ( n = 5), biopsy forceps ( n = 3), and snare ( n = 2). Stent removal using a DBE was feasible and useful as the first treatment for patients with bowel reconstruction. The choice of the direct and/or indirect method according to the situation of the migrated stent is important.

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“…Various techniques have been described for retrieval of a migrated stent using forceps, a basket, snare, Soehendra stent retriever, cholangioscope, and balloon 1 2 3 4 . To the best of our knowledge, this is the first case that highlights the use of a therapeutic scope in stent retrieval.…”

Section: Endoscopy E-videosmentioning

confidence: 99%

A novel technique of migrated biliary stent retrieval

et al. 2021

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Endoscopic retrieval of a migrated biliary stent into intrahepatic bile duct by using fine‐gauge biliary balloon dilation catheter

Abstract: https://onlinelibrary.wiley.com/pages/journal/14431661/den13915-sup-0001-VidS1.htm a video of this article.

Cited by 3 publications

References 4 publications

Endoscopic retrieval of a sheared guidewire remnant with microbiopsy forceps from a peripheral intrahepatic bile duct

Endoscopic retrieval of a sheared guidewire remnant with microbiopsy forceps from a peripheral intrahepatic bile duct

Endoscopic removal of proximally migrated stents using a double‐balloon enteroscope in patients with bowel reconstruction (with video)

A novel technique of migrated biliary stent retrieval

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