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Dissection and removal of bile duct plastic stents penetrating the duodenal papilla: report of three rare cases

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Abstract

We encountered three cases with incidental penetration of a straight Amsterdam-type bile duct plastic stent into the duodenal papilla. All patients had undergone insertion of a biliary plastic stent due to common bile duct stones. However, in all three cases, we observed penetration of the biliary plastic stent into the duodenal papilla just before the elective surgery or at the time of plastic stent replacement. We, therefore, performed stent dissection using a bipolar snare and were able to safely remove the plastic stents in all three cases. We believe that this is the first report of plastic stent dissection using a bipolar snare.

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References

  1. Furuta T, Kato M, Ito T, et al. 6th report of endoscopic complications: results of the Japan Gastroenterological Endoscopy Society Survey from 2008 to 2012. Gastroenterol Endosc. 2016;58:1466–91.

    Google Scholar 

  2. Takahashi K, Kashimura J, Nihei T. Successful treatment using endoscopic clipping for asymptomatic duodenal perforation caused by a biliary plastic stent: a report of two cases. JJBA. 2019;33:264–71.

    Google Scholar 

  3. Murata W, Ariga H, Kashimura J, et al. A case of a plastic stent penetrating the duodenal papilla. Prog Dig Endosc. 2017;91:188–9.

    Article  Google Scholar 

  4. Sharma BC, Agarwal N, Sharma B, et al. Endoscopic biliary drainage by 7 Fr or 10 Fr stent placement in patients with acute cholangitis. Dig Dis Sci. 2009;54(6):1355–9.

    Article  CAS  Google Scholar 

  5. Johanson JF, Schmalz MJ, Geenen JE. Incidence and risk factors for biliary and pancreatic stent migration. Gastrointest Endosc. 1992;38(3):341–6.

    Article  CAS  Google Scholar 

Download references

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Authors and Affiliations

  1. Department of Gastroenterology, Kanazawa Medical University, 1-1 Daigaku, Uchinada-machi, Ishikawa, 920-0293, Japan

    Masakatsu Nakamura, Toshimi Otsuka, Ranji Hayashi, Tomoe Horita, Masafumi Ota, Naoko Sakurai, Hikaru Takano, Tasuku Hayashi & Tomiyasu Arisawa

  2. Department of Surgical Oncology, Kanazawa Medical University, 1-1 Daigaku, Uchinada-machi, Ishikawa, 920-0293, Japan

    Seiko Miura, Nobuhiko Ueda & Hiroyuki Takamura

Authors
  1. Masakatsu Nakamura
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  2. Toshimi Otsuka
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  3. Ranji Hayashi
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  4. Tomoe Horita
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  5. Masafumi Ota
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  6. Naoko Sakurai
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  7. Hikaru Takano
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  8. Tasuku Hayashi
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  9. Seiko Miura
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  10. Nobuhiko Ueda
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  11. Hiroyuki Takamura
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  12. Tomiyasu Arisawa
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Corresponding author

Correspondence to Masakatsu Nakamura.

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All procedures followed have been performed in accordance with the ethical standards laid down in the 1964 Declaration of Helsinki and its later amendments.

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Informed consent was obtained from all patients for being included in the study.

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Nakamura, M., Otsuka, T., Hayashi, R. et al. Dissection and removal of bile duct plastic stents penetrating the duodenal papilla: report of three rare cases. Clin J Gastroenterol 14, 1255–1262 (2021). https://doi.org/10.1007/s12328-021-01435-1

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  • DOI: https://doi.org/10.1007/s12328-021-01435-1

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