Odemis Bulent, Beyazit Yavuz, Tanoglu Alpaslan, Kayacetin Ertuğrul
Department of Gastroenterology, Turkiye Yuksek Ihtisas Hospital, Ankara, Turkey.
Department of Gastroenterology, GATA Haydarpasa Training Hospital, Istanbul, Turkey.
BMJ Case Rep. 2014 Dec 15;2014:bcr2014207377. doi: 10.1136/bcr-2014-207377.
Endoscopically placed bile duct stents are commonly used to relieve obstruction in patients with benign or malignant biliary disease. These stents may become dislodged and migrate in about 5-10% of patients. Distally migrated stents can be managed expectantly, allowing the foreign body to pass through the rectum. However, proximal migration of biliary stents usually necessitates endoscopic stent removal. We present a case of a proximally migrated stent that was extracted successfully with intrastent balloon inflation during endoscopic retrograde cholangiopancreatography (ERCP).
内镜下放置的胆管支架常用于缓解良性或恶性胆道疾病患者的梗阻。这些支架在约5%-10%的患者中可能会移位和迁移。远端迁移的支架可采取观察等待的方式处理，让异物经直肠排出。然而，胆管支架近端迁移通常需要通过内镜取出支架。我们报告一例近端迁移的支架在内镜逆行胰胆管造影术（ERCP）期间通过支架内球囊扩张成功取出的病例。
