title: Endoscopic removal of a biliary Wallstent with a suture-cutting device in a patient with primary pancreatic lymphoma.
abstract: This report describes the case of a 74-year-old woman who had previously had a metal stent placed to relieve jaundice resulting from a pancreatic head tumor, suspected to be adenocarcinoma. The tumor was subsequently found to be a non-Hodgkin's large-cell lymphoma, which had shown a rapid response to chemotherapy without tumor recurrence in over 3 years since the diagnosis. She was referred for management of recurrent jaundice and cholangitis resulting from repeated metal stent occlusion, despite multiple endoscopic procedures and failed surgical removal. This report describes experience with the use of an endoscopic suture-cutting device to assist in the removal of the metal stent. It also highlights the need for proper patient selection before placement of biliary metal stents.
authors.affiliation: Division of Gastroenterology, The Mayo Clinic, Rochester, Minnesota 55905, USA. levy.michael@mayo.edu
authors.forename: M J
authors.initials: MJ
authors.lastname: Levy
authors.forename: M J
authors.initials: MJ
authors.lastname: Wiersema
mesh_terms: D000368:Aged; D001659:Biliary Tract / Q000000981:diagnostic imaging; D002758:Cholangiography; D020878:Device Removal; D004724:Endoscopy / Q000379:methods*; D004868:Equipment Failure; D005260:Female; D006801:Humans; D007565:Jaundice / Q000628:therapy*; D008228:Lymphoma, Non-Hodgkin / Q000000981:diagnostic imaging / Q000601:surgery / Q000628:therapy*; D008670:Metals; D010190:Pancreatic Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery / Q000628:therapy*; D015607:Stents; D013537:Sutures
chemical_list: D008670:Metals