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Removal of a pancreatic stent into the dorsal duct of a pancreas divisum

1994; Elsevier BV; Volume: 40; Issue: 2 Linguagem: Inglês

10.1016/s0016-5107(94)70180-6

1097-6779

Marc Barthet, Gilbert Bordes, J Bernard, Pierre-Henri Pagliero, José‐Alain Sahel,

Gastrointestinal disorders and treatments

Endoscopic therapy in patients with pancreas divisum may be helpful. 1 McCarthy J Geenen JE Hogan WJ. Preliminary experience with endoscopic stent placement in benign pancreatic disease. Gastrointest Endosc. 1988; 34: 16-18 Abstract Full Text PDF PubMed Scopus (161) Google Scholar , 2 Grimm H Meyer WH Nam VC Soehendra N. New modalities for treating chronic pancreatitis. Endoscopy. 1989; 21: 70-74 Crossref PubMed Scopus (132) Google Scholar , 3 Huibregtse K Schneider B Vrij AA Tytgat GNJ. Endoscopic pancreatic drainage in chronic pancreatitis. Gastrointest Endosc. 1988; 34: 9-15 Abstract Full Text PDF PubMed Scopus (201) Google Scholar A recent prospective randomized trial showed a significant improvement of symptoms and a decrease in the frequency of acute pancreatitis and hospitalizations in patients who underwent stenting of the dorsal duct. 4 Lans JI Geenen JE Johanson JF Hogan WJ. Endoscopic therapy in patients with pancreas divisum and acute pancreatitis: a prospective, randomized, controlled clinical trial. Gastrointest Endosc. 1992; 38: 430-434 Abstract Full Text PDF PubMed Scopus (210) Google Scholar Migration of stents is a possible complication. 1 McCarthy J Geenen JE Hogan WJ. Preliminary experience with endoscopic stent placement in benign pancreatic disease. Gastrointest Endosc. 1988; 34: 16-18 Abstract Full Text PDF PubMed Scopus (161) Google Scholar , 4 Lans JI Geenen JE Johanson JF Hogan WJ. Endoscopic therapy in patients with pancreas divisum and acute pancreatitis: a prospective, randomized, controlled clinical trial. Gastrointest Endosc. 1992; 38: 430-434 Abstract Full Text PDF PubMed Scopus (210) Google Scholar , 5 Johanson JF Schmalz MJ Geenen JE. Incidence and risk factors for biliary and pancreatic stent migration. Gastrointest Endosc. 1992; 38: 341-346 Abstract Full Text PDF PubMed Scopus (266) Google Scholar Removal of a broken pancreatic stent after intrapancreatic migration was recently described in a patient presenting with alcohol-induced chronic pancreatitis. 6 Waxman I Fockens P Huibregtse K Tytgat GNJ. Removal of a broken pancreatic stent using a new stent retrieval device. Gastrointest Endosc. 1991; 37: 631-632 Abstract Full Text PDF PubMed Scopus (16) Google Scholar We report the case of a patient lost to follow-up for 4 years in whom a pancreatic stent migrated deep inside the pancreatic duct.