Yane Kei, Imagawa Takayuki, Yoshida Masahiro
Department of Gastroenterology, Tonan Hospital, Japan.
J Rural Med. 2024 Jul;19(3):196-198. doi: 10.2185/jrm.2023-050. Epub 2024 Jul 1.
We report a case of spontaneous migration of a dedicated plastic stent after endoscopic ultrasound-guided hepaticogastrostomy (EUS-HGS) in a patient with surgically altered anatomy. The patient was a male in his 70s. He underwent EUS-HGS with the successful insertion of a dedicated plastic stent and had no obvious postprocedural complications. However, nine days after the procedure, the patient visited our hospital because of abdominal pain, fever, and stent excretion. We performed EUS-HGS with antegrade stenting, after which the patient had no further complications. Stent migration is considered a complication requiring caution when performing EUS-HGS in patients with surgically altered anatomy.
我们报告了一例在接受过外科解剖结构改变手术的患者中，内镜超声引导下肝胃吻合术（EUS-HGS）后专用塑料支架自发迁移的病例。患者为一名70多岁的男性。他接受了EUS-HGS并成功插入了专用塑料支架，术后无明显并发症。然而，术后九天，患者因腹痛、发热和支架排出而前来我院就诊。我们进行了顺行支架置入的EUS-HGS，此后患者未再出现并发症。在对解剖结构已改变的患者进行EUS-HGS时，支架迁移被认为是一种需要谨慎对待的并发症。
