Digestive Diseases and Sciences

, Volume 63, Issue 12, pp 3224–3227 | Cite as

SpyCatcher: Use of a Novel Cholangioscopic Snare for Capture and Retrieval of a Proximally Migrated Biliary Stent

  • Monique T. Barakat
  • Subhas BanerjeeEmail author
Stanford Multidisciplinary Seminars

Case Presentation and Evolution

A 60-year-old woman was evaluated in our institution with abnormal liver function tests 1 month following orthotopic liver transplantation for alcoholic cirrhosis. Vital signs were notable for a heart rate of 76 beats/min, temperature of 36.3 °C, blood pressure of 101/64 mm of Hg, and respiratory rate of 10/min. Physical examination revealed healed abdominal incisions consistent with her surgical history and no abdominal tenderness. Endoscopic retrograde cholangiopancreatography (ERCP) revealed an anastomotic biliary stricture, which was treated with ampullary sphincterotomy and placement of an 8.5 French × 7 cm straight plastic stent. Seven weeks later, she returned for repeat ERCP for incremental dilation and stent exchange as part of the management of her post-liver transplantation anastomotic biliary stricture. Her laboratory studies, including liver function tests, were normal.

At ERCP, the initial fluoroscopy scout image localized the stent in the...



This work was supported by NIH T32 Training Grant (DK007056) to MTB.

Compliance with ethical standards

Conflict of interest

None of the authors have any conflicts of interest pertaining to the study to disclose.


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Division of Gastroenterology and HepatologyStanford University School of MedicineStanfordUSA

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