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

Hiroyuki Matsubayashi; Shohei Ooka; Hirokazu Kimura; Hiroaki Sawai; Naomi Kakushima; Masaki Tanaka; Michael Goggins; Hiroyuki Ono

doi:10.1016/j.clinre.2010.12.003

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

Hiroyuki Matsubayashi, Shohei Ooka, Hirokazu Kimura, Hiroaki Sawai, Naomi Kakushima, Masaki Tanaka, Michael Goggins, Hiroyuki Ono

School of Medicine

Research output: Contribution to journal › Article › peer-review

5 Scopus citations

Abstract

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.

Original language	English (US)
Pages (from-to)	321-324
Number of pages	4
Journal	Clinics and Research in Hepatology and Gastroenterology
Volume	35
Issue number	4
DOIs	https://doi.org/10.1016/j.clinre.2010.12.003
State	Published - Apr 1 2011

ASJC Scopus subject areas

Hepatology
Gastroenterology

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Matsubayashi, H., Ooka, S., Kimura, H., Sawai, H., Kakushima, N., Tanaka, M., Goggins, M., & Ono, H. (2011). Proximally migrated pancreatic stent successfully removed using needle-knife and forceps: Complication after precut papillotomy assisted by pancreatic stenting. Clinics and Research in Hepatology and Gastroenterology, 35(4), 321-324. https://doi.org/10.1016/j.clinre.2010.12.003

Proximally migrated pancreatic stent successfully removed using needle-knife and forceps: Complication after precut papillotomy assisted by pancreatic stenting. / Matsubayashi, Hiroyuki; Ooka, Shohei; Kimura, Hirokazu et al.
In: Clinics and Research in Hepatology and Gastroenterology, Vol. 35, No. 4, 01.04.2011, p. 321-324.

Research output: Contribution to journal › Article › peer-review

Matsubayashi, H, Ooka, S, Kimura, H, Sawai, H, Kakushima, N, Tanaka, M, Goggins, M & Ono, H 2011, 'Proximally migrated pancreatic stent successfully removed using needle-knife and forceps: Complication after precut papillotomy assisted by pancreatic stenting', Clinics and Research in Hepatology and Gastroenterology, vol. 35, no. 4, pp. 321-324. https://doi.org/10.1016/j.clinre.2010.12.003

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abstract = "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.",

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AU - Sawai, Hiroaki

AU - Kakushima, Naomi

AU - Tanaka, Masaki

AU - Goggins, Michael

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

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