Year 2021 / Volume 113 / Number 10
Letter
Endoscopic removal of an embedded uncovered biliary self-expandable metal stent with a mechanichal lithotriptor

738-739

DOI: 10.17235/reed.2021.7869/2021

Juan M. Martín Guerrero, Carlos Ortiz-Moyano, Mercedes Serrano-Romero,

Abstract
Biliary fully-covered self-expandable metal stents (FCSEMS) can be used for benign conditions since they can be removed. Uncovered SEMS (uSEMS) are employed for malignant biliary obstruction and are intended to be permanent. Furthermore, they are almost impossible to remove because they become embedded in the bile duct. We present a technique for uSEMS removal in a patient in whom a biliary uSEMS had been inserted for two years. Biliary obstruction due pancreatic cancer was misdiagnosed. Finally an IgG4 related-disease (autoimmune pancreatitis) was identified.
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References
1. García-Cano J, Taberna-Arana L, Jimeno-Ayllón C, et al. Use of fully covered self-expanding metal stents for the management of benign biliary conditions. Rev Esp Enferm Dig 2010;102:526-32. doi: 10.4321/s1130-01082010000900003.
2. Levy MJ, Wiersema MJ. Endoscopic Removal of a Biliary Wallstent with a Suture-Cutting Device in a Patient with Primary Pancreatic Lymphoma. Endoscopy 2002;34(10):835-7.
3. Egan LJ, Baron TH. Endoscopic removal of an embedded biliary Wallstent by piecemeal extraction. Endoscopy 2000;32(6):492-4.
4. Arias Dachary FJ, Chioccioli C, Deprez PH. Application of the “covered-stent-in-uncovered-stent” technique for easy and safe removal of embedded biliary uncovered SEMS with tissue ingrowth. Endoscopy 2010;42(S 02):E304-5
Bernon M, Kloppers C, Lindemann J, et al. Recalcitrant embedded biliary self-expanding metal stents: a novel technique for endoscopic extraction. VideoGIE 2019;4(2):72-5.
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Martín Guerrero J, Ortiz-Moyano C, Serrano-Romero M. Endoscopic removal of an embedded uncovered biliary self-expandable metal stent with a mechanichal lithotriptor. 7869/2021


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Publication history

Received: 06/02/2021

Accepted: 16/02/2021

Online First: 22/02/2021

Published: 06/10/2021

Article revision time: 4 days

Article Online First time: 16 days

Article editing time: 242 days


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