Endoscopy 2023; 55(S 02): S313
DOI: 10.1055/s-0043-1765877
Abstracts | ESGE Days 2023
ePoster

The Forgotten Stent: removal of an embedded Biliary Self-Expanding Metal Stent

E. Troncone
1   Department of Systems Medicine, University of Rome Tor Vergata, Rome, Italy
,
A. Tringali
2   Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy, Rome, Italy
3   Centre for Endoscopic Research Therapeutics and Training, Università Cattolica del Sacro Cuore, Rome, Italy
,
R. Amendola
1   Department of Systems Medicine, University of Rome Tor Vergata, Rome, Italy
,
F. Gadaleta
1   Department of Systems Medicine, University of Rome Tor Vergata, Rome, Italy
,
P. De Vico
4   Department of Anaesthesia, University of Rome Tor Vergata, Rome, Italy
,
G. Monteleone
1   Department of Systems Medicine, University of Rome Tor Vergata, Rome, Italy
,
G. Del Vecchio Blanco
1   Department of Systems Medicine, University of Rome Tor Vergata, Rome, Italy
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    Abstract Text We report a case of a 59 years-old man with acute cholangitis and long-term embedded biliary SEMS placed 4 years earlier for bile duct stones. A new fully covered SEMS was positioned inside the indwelling SEMS (“stent-in-stent” technique), but ERCP performed after 4 weeks failed to retrieve the embedded stent, as the attempts of removal only resulted in partial mobilization and fracture of metal wires. Therefore, single-operator cholangioscopy with Spyglass was performed, and the embedded metal wires were mobilized under direct view by using biopsy forceps through the cholangioscope. Finally, the stent was safely removed with extraction balloon. The patient was discharged without adverse events.


     

    Conflicts of interest

    Andrea Tringali is a consultant for Boston Scientific and Olympus

    Publikationsverlauf

    Artikel online veröffentlicht:
    14. April 2023

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