Endoscopy 2002; 34(10): 835-837
DOI: 10.1055/s-2002-34258
Case Report

© Georg Thieme Verlag Stuttgart · New York

Endoscopic Removal of a Biliary Wallstent with a Suture-Cutting Device in a Patient with Primary Pancreatic Lymphoma

M.  J.  Levy 1 , M.  J.  Wiersema 1
  • 1Division of Gastroenterology, The Mayo Clinic, Rochester, Minnesota, USA
Further Information

Publication History

Received: 30 July 2001

Accepted after Revision: 25 April 2002

Publication Date:
23 September 2002 (online)

This report describes the case of a 74-year-old woman who had previously had a metal stent placed to relieve jaundice resulting from a pancreatic head tumor, suspected to be adenocarcinoma. The tumor was subsequently found to be a non-Hodgkin's large-cell lymphoma, which had shown a rapid response to chemotherapy without tumor recurrence in over 3 years since the diagnosis. She was referred for management of recurrent jaundice and cholangitis resulting from repeated metal stent occlusion, despite multiple endoscopic procedures and failed surgical removal. This report describes experience with the use of an endoscopic suture-cutting device to assist in the removal of the metal stent. It also highlights the need for proper patient selection before placement of biliary metal stents.


M. J. Levy, M.D.

Mayo Clinic Foundation · Division of Gastroenterology

200 First Street SW · Rochester, MN 55905 · USA

Fax: + 1-507-266-3939

Email: levy.michael@mayo.edu