Management of Complications of Biliary Stenting

Ginsberg, Gregory G.; Attalla, Sara

doi:10.1007/978-3-030-56993-8_85

Cited by 1 publication

(2 citation statements)

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“…Risk factors for proximal migration include malignant strictures, a larger bile duct diameter, distally located strictures, and stent-related factors such as using larger-diameter, short, or straight stents. 4 Double-pigtail stents have been developed to prevent or reduce stent migration and are used alone or to anchor other stents. 2 Temporary biliary stenting using a double-pigtail stent has been a safe and feasible method for treating difficult and large common bile duct stones refractory to conventional methods.…”

Section: Discussionmentioning

confidence: 99%

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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

et al. 2023

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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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Section: Discussionmentioning

confidence: 99%

“…Stent migration can occur either proximally or distally within the bile duct. Risk factors for proximal migration include malignant strictures, a larger bile duct diameter, distally located strictures, and stent‐related factors such as using larger‐diameter, short, or straight stents 4 …”

Section: Discussionmentioning

confidence: 99%