title: Endoscopic Removal of a Proximally Migrated Metal Stent during Balloon Sweeping after Stent Trimming.
abstract: Placement of a self-expanding metal stent (SEMS) is an effective method for palliation of a malignant biliary obstruction. However, metal stents can cause various complications, including stent migration. Distally migrated metal stents, particularly covered SEMS, can be removed successfully in most cases. Stent trimming using argon plasma coagulation may be helpful in difficult cases despite conventional methods. However, no serious complications related to the trimming or remnant stent removal method have been reported due to the limited number of cases. In particular, proximal migration of a remnant fragmented metal stent after stent trimming followed by balloon sweeping has not been reported. We report an unusual case of proximal migration of a remnant metal stent during balloon sweeping following stent trimming by argon plasma coagulation. The remnant metal stent was successfully removed with rotation technique using a basket and revised endoscopically.
authors: Department of Internal Medicine, Soonchunhyang University Cheonan Hospital, Soonchunhyang University College of Medicine, Cheonan, Korea.
authors: Nam Jun
authors: NJ
authors: Cho
authors: Tae Hoon
authors: TH
authors: Lee
authors: Sang-Heum
authors: SH
authors: Park
authors: Han Min
authors: HM
authors: Lee
authors: Kyung Hee
authors: KH
authors: Hyun
authors: Suck-Ho
authors: SH
authors: Lee
authors: Il-Kwun
authors: IK
authors: Chung
authors: Sun-Joo
authors: SJ
authors: Kim
keywords: Argon plasma coagulation; Cholangiopancreatography, endoscopic retrograde; Pancreatic neoplasms; Stents
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