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Endoscopic papillary large balloon dilatation-assisted retrieval of a proximally migrated double pigtail stent from the bile duct: A case report. | LitMetric

AI Article Synopsis

  • - A case report discusses the successful retrieval of a migrated double-pigtail stent in the bile duct after endoscopic papillary large balloon dilatation (EPLBD) in an 86-year-old man with cholangitis caused by bile duct stones.
  • - The patient initially underwent endoscopic papillary sphincterotomy and had a stent placed, but the stent migrated and could not be seen a week later during follow-up.
  • - After dilating the papilla to 12 mm, the stent was removed, and biliary stones were extracted without any complications, demonstrating the efficacy of EPLBD in such situations.

Article 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.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10333721PMC
http://dx.doi.org/10.1002/deo2.272DOI Listing

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