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Endoscopic removal of a metal stent that migrated into the peritoneal cavity after EUS-guided hepaticogastrostomy.
Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society 2019 Februrary 9
Endoscopic ultrasound-guided hepaticogastrostomy (EUS-HGS) is useful as an alternative biliary drainage for patients with a difficult biliary approach, but the procedure has a high complication rate1, 2 . We present a case in which a stent that migrated into the peritoneal cavity was removed endoscopically under fluoroscopic guidance. A 72-year-old male with esophageal cancer presented to our department for treatment of obstructive jaundice. Metastatic peritonitis caused stricture of the distal bile duct and the duodenum. He underwent EUS-HGS and received a long, partially covered metal stent (LP-CMS; Niti-S Modified-GIOBOR stent, TaeWoong Medical, Seoul, Korea). This article is protected by copyright. All rights reserved.
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