Rana Surinder S, Sharma Ravi, Gupta Rajesh
Department of Gastroenterology Post Graduate Institute of Medical Education and Research (PGIMER) Chandigarh India.
Department of Surgery Post Graduate Institute of Medical Education and Research (PGIMER) Chandigarh India.
JGH Open. 2019 Mar 12;4(1):97-98. doi: 10.1002/jgh3.12168. eCollection 2020 Feb.
Plastic stent migration is an important complication of pancreatic duct (PD) stenting, with distal (downstream) migration being more common than proximal (upstream) migration. While the distal stent migration into the duodenum is rarely of any clinical consequence, proximal stent migration can cause serious complications, including obstructive pancreatitis. The endoscopic removal of proximally migrated stents is difficult because of the small diameter of PD, the bended and sometimes tortuous course of PD, the presence of strictures, and a lack of dedicated endoscopic accessories. We report a rare case of endoscopic retrieval of two proximally migrated plastic stents from PD.
塑料支架移位是胰管（PD）支架置入术的一种重要并发症，远端（下游）移位比近端（上游）移位更常见。虽然远端支架移位至十二指肠很少产生任何临床后果，但近端支架移位可导致严重并发症，包括梗阻性胰腺炎。由于胰管直径小、走行弯曲且有时呈迂曲状、存在狭窄以及缺乏专用的内镜附件，内镜下取出近端移位的支架很困难。我们报告了一例罕见的经内镜从胰管取出两枚近端移位的塑料支架的病例。
