Peroral cholangioscopy-assisted removal of a retained biliary covered metal stent using the inversion and traction technique

Abstract Text A 45-year-old male with a benign biliary stricture due to chronic pancreatitis underwent an ERCP with placement of a 60x10mm FCSEMS. Six months later, FCSEMS distal end was completely embedded in the duodenal wall due to hyperplastic tissue overgrowth. Multiple removal attempts using grasping forceps, snare, extraction balloon and three stent-in-stent periods failed. A rescue ERCP with peroral cholangioscopy was performed. After hydrostatic balloon dilation to improve stent distortion, the cholangioscope was advanced. The proximal end of the stent was captured and partially inverted into its own lumen with a biopsy forceps. This maneuver made the inverted proximal end to be easily grasped using a foreign body biopsy forceps introduced through the duodenoscope, leading to complete inversion into the duodenal lumen and successful removal by applying moderate traction [1] [2] [3] [4].

Video http://data.process.y-congress.com/ScientificProcess/Data//106/570/1428/6c54490f-3aaf-428c-90ae-c290d0b1d375/Uploads/16849_ESGE_Days%202025%20-%20Retained%20FCSEMS.mp4

Publikationsverlauf

Artikel online veröffentlicht:
27. März 2025

• References

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