SpyGlass胰管镜检查与成功取出近端移位的胰管支架；罕见病例及技术要点

Rahimi Aliraza, Ejtehadi Fardad

Therapeutic Endoscopy and Advanced ERCP Ward, Namazi Hospital, Gastroenterology and Hepatology Section, Internal Medicine Department, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.

Middle East J Dig Dis. 2016 Jul;8(3):232-234. doi: 10.15171/mejdd.2016.26.

Pancreatic stent proximal migration is a well known complication of pancreatic duct stenting, which occurs in about 5-6% of cases. Serious complications should be avoided by retrieval of the stent via different endoscopic techniques. We report a new technique previously reported only once (in a pancreatic duct with underlying pathology), to remove the proximally migrated pancreatic stent in a normal pancreatic duct by SpyGlass Direct Visualization System (Boston Scientific, Natick, Massachusetts, USA) and SpyBite Forceps (Boston Scientific, Natick, Massachusetts, USA).

胰管支架近端移位是胰管支架置入术一种众所周知的并发症，约5%-6%的病例会出现该情况。应通过不同的内镜技术取出支架以避免严重并发症。我们报告一种新技术，此前仅报道过一次（在有潜在病变的胰管中），即通过SpyGlass直视系统（美国波士顿科学公司，马萨诸塞州纳蒂克）和SpyBite活检钳（美国波士顿科学公司，马萨诸塞州纳蒂克）取出正常胰管中近端移位的胰管支架。