Argon plasma endoscopic section of biliary metallic prostheses.
We report our recent experience of using argon plasma to endoscopically cut biliary Wallstent prostheses in these patients. The first patient had a bleeding duodenal ulceration caused by the impaction of the prosthesis meshes whereas the second patient had an ill-positioned biliary stent with impaction into the opposite duodenal wall. Both prostheses were shortened using argon plasma. In the third patient, the lower extremity of a obstructed biliary Wallstent was positioned in the third duodenum preventing its endoscopic catheterization. After shortening using argon plasma, a new plastic stent could be inserted to allow drainage. The outcomes in these cases demonstrate the feasibility of endoscopically shortening metallic Wallstents after release using argon plasma.
Demarquay
J F
JF
Dept. of Gastroenterology, Archet II, University Hospital, Nice, France. demarquay.jf@chu-nice.fr
Dumas
R
R
Peten
E P
EP
Rampal
P
P
D000368:Aged; D000369:Aged, 80 and over; D001128:Argon; D001652:Bile Ducts; D004564:Electrocoagulation / Q000379:methods*; D016145:Endoscopy, Digestive System; D006801:Humans; D008297:Male; D008670:Metals; D015607:Stents / Q000009:adverse effects*
D008670:Metals; D001128:Argon