Endoscopy 2000; 32(6): 492-494
DOI: 10.1055/s-2000-653
Case Report
Georg Thieme Verlag Stuttgart ·New York

Endoscopic Removal of an Embedded Biliary Wallstent by Piecemeal Extraction

L. J. Egan, T. H. Baron
  • Division of Gastroenterology and Hepatology, Mayo Medical Center, Rochester, Minnesota, United States
Further Information

Publication History

Publication Date:
31 December 2000 (online)

Expandable metal biliary stents are reserved for patients with unresectable malignant biliary obstruction. Occasionally, these stents may cause complications necessitating removal. We describe successful endoscopic removal of a biliary Wallstent one year after insertion in a patient who initially underwent placement of an expandable metal biliary stent for presumed biliary malignancy. The stent was removed after a stent related bleeding duodenal ulcer formed.

References

  • 1 Knyrim K, Wagner H J, Pausch J, Vabil N. A prospective randomized controlled trial of metal stents for malignant obstruction of the common bile duct.  Endoscopy. 1993;  35 207-212
  • 2 Davids P HP, Groen A K, Rauws E AJ, et al. Randomized trial of self-expanding metal stents versus polyethylene stents for distal malignant biliary obstruction.  Lancet. 1992;  340 1488-1492
  • 3 Dumonceau J M, Deviere J, Delhaye M, et al. Plastic and metal stents for post-operative benign bile duct strictures: the best and the worst.  Gastrointest Endosc. 1998;  47 8-17
  • 4 Roebuck D J, Stanley P, Katz M D, et al. Gastrointestinal hemorrhage due to duodenal erosion by a biliary wallstent.  Cardiovasc Intervent Radiol. 1998;  21 63-65
  • 5 Ahmed A, Keeffe E B, Imperial J C. A novel technique for endoscopic removal of expandable biliary Wallstent.  Gastrointest endosc. 1999;  50 279-282
  • 6 Bethge N, Sommer A, Gross U, et al. Human tissue responses to metal stents implanted in vivo for the palliation of malignant stenoses.  Gastrointest Endosc. 1996;  43 596-602
  • 7 Baron T H, Blacjard W G, Morgan D E. Endoscopic removal of a “floating” biliary Gianturco Z stent five years after placement for a benign anastomotic stricture in a liver transplant patient.  Gastrointest Endosc. 1997;  46 80-82

T. H. Baron

Division of Gastroenterology and Hepatology Mayo Clinic

200 First Street SW, Eisenberg 8A Rochester, MN 55905 United States

Fax: Fax:+ 1-507-266-3939

Email: E-mail:baron.todd@mayo.edu