학술논문

Endoscopic papillary large balloon dilatation‐assisted retrieval of a proximally migrated double pigtail stent from the bile duct: A case report
Document Type
article
Source
DEN Open, Vol 4, Iss 1, Pp n/a-n/a (2024)
Subject
choledocholithiasis
endoscopic retrograde cholangiopancreatography
endoscopic sphincterotomy
stent migration
stents
Diseases of the digestive system. Gastroenterology
RC799-869
Language
English
ISSN
2692-4609
Abstract
Abstract Double‐pigtail stents are commonly used for drainage in cholangitis to prevent stent migration. We report a case in which a double pigtail stent had migrated proximally into the bile duct and was successfully retrieved after endoscopic papillary large balloon dilatation (EPLBD). An 86‐year‐old man underwent endoscopic papillary sphincterotomy for cholangitis due to common bile duct stones and had a double‐pigtail stent placed in the common bile duct. The patient presented a week later for endoscopic biliary stone removal, but the stent had migrated proximally and could not be visualized during the endoscopy. Endoscopic papillary large balloon dilatation was performed to dilate the papilla to a diameter of 12 mm, following which the stent was grasped and removed. The biliary calculi were subsequently extracted, and the procedure was completed without any complications. This case highlights the potential usefulness of endoscopic papillary large balloon dilatation for retrieving a double‐pigtail stent that has migrated to the bile duct.