Year 2024 / Volume 116 / Number 1
Digestive Diseases Image
Role of cholangioscopy as a rescue technique in the retrieval of proximally migrated biliary stents

39-40

DOI: 10.17235/reed.2022.9259/2022

Luís Santos, Dário Gomes, Pedro Figueiredo,

Abstract
A 15-years-old boy with a medical history of an orthotopic liver transplant in 2021 due to methylmalonic aciduria, on a multi-stenting strategy for biliary anastomotic strictures, underwent a reassessment endoscopic retrograde cholangiopancreatography and the two previously placed biliary stents had migrated proximally, above the anastomosis. A digital single-operator cholangioscopy was performed (SpyGlass, Boston Scientific, Marlborough, Massachusetts) with direct visualization of the migrated stents, however, the accessories through the cholangiocope, such as the SpyBite forceps or the SpySnare (Boston Scientific), were not available in our department at that time. Nevertheless, the cholangioscopy allowed a successful guidewire advancement into the lumen of the stents and its subsequent removal to the duodenum using a Soehendra Stent Retriever (Cook Japan, Tokyo, Japan). Endoscopic removal of proximally migrated stents can be challenging and cholangioscopy has emerged as an additional tool in these cases. This case report represents a successful retrieval of two biliary stents guided by cholangioscopy, avoiding further invasive procedures or even surgery with significant morbidity and mortality.
Share Button
New comment
Comments
No comments for this article
References
1. Karagyozov P, Boeva I, Tishkov I. Role of digital single-operator cholangioscopy in the diagnosis and treatment of biliary disorders. World J Gastrointest Endosc. 2019 Jan 16;11(1):31-40.
Related articles

Letter

Hematoma post-endoscopic retrograde cholangiopancreatography

DOI: 10.17235/reed.2023.9670/2023

Digestive Diseases Image

Endosonographic and ERCP findings in COVID-19 critical illness cholangiopathy

DOI: 10.17235/reed.2022.9218/2022

Digestive Diseases Image

Intrabiliary metastasis of colorectal adenocarcinoma: the SPY perspective

DOI: 10.17235/reed.2022.9202/2022

Special Article

CHOLANGIOPANCREATOSCOPY. WORKING PROTOCOL. SEED Recommendations

DOI: 10.17235/reed.2020.7531/2020

Digestive Diseases Image

Cholangiohydatidosis: an uncommon cause of acute cholangitis

DOI: 10.17235/reed.2020.7063/2020

Editorial

Cholangioscopy: seeing to believe, seeing to know, seeing to cure

DOI: 10.17235/reed.2018.5991/2018

Letter

Obstructive jaundice of a parasitic etiology

DOI: 10.17235/reed.2018.5827/2018

Citation tools
Santos L, Gomes D, Figueiredo P. Role of cholangioscopy as a rescue technique in the retrieval of proximally migrated biliary stents . 9259/2022


Download to a citation manager

Download the citation for this article by clicking on one of the following citation managers:

Metrics
This article has received 241 visits.
This article has been downloaded 55 times.

Statistics from Dimensions


Statistics from Plum Analytics

Publication history

Received: 05/10/2022

Accepted: 10/10/2022

Online First: 20/10/2022

Published: 11/01/2024

Article Online First time: 15 days

Article editing time: 463 days


Share
This article hasn't been rated yet.
Reader rating:
Valora este artículo:




Asociación Española de Ecografía Digestiva Sociedad Española de Endoscopia Digestiva Sociedad Española de Patología Digestiva
The Spanish Journal of Gastroenterology is the official organ of the Sociedad Española de Patología Digestiva, the Sociedad Española de Endoscopia Digestiva and the Asociación Española de Ecografía Digestiva
Cookie policy Privacy Policy Legal Notice © Copyright 2023 y Creative Commons. The Spanish Journal of Gastroenterology