title: Retrieval of a self-expanding metal stent after migration and incorporation in the omental bursa, using a gastroscopic-transgastric laparoscopic rendezvous technique.
abstract: Endoscopic drainage is a widely used treatment for pancreatic pseudocysts. Drainage-related complications may be related directly to the procedure or may occur later as stents migrate or erode into adjacent structures. Migration of a self-expanding metal stent into peritoneal cavity and incorporation in the omental bursa is rare. When endoscopic retrieval fails a combined laparoscopic-endoscopic (rendezvous technique) approach offers an alternative to open surgery. We report a case of successful gastroscopic-transgastric laparoscopic removal of a stent that was dislocated into the omental bursa after a ½ year observation period.
authors.affiliation: Department of Surgery, Clinic of General, Visceral, Thoracic and Vascular Surgery, Ernst-Moritz-Arndt-University Hospital, Greifswald, Germany.
authors.forename: Maciej
authors.initials: M
authors.lastname: Patrzyk
authors.affiliation: Department of Surgery, Clinic of General, Visceral, Thoracic and Vascular Surgery, Ernst-Moritz-Arndt-University Hospital, Greifswald, Germany.
authors.forename: Przemyslaw
authors.initials: P
authors.lastname: Dierzek
authors.affiliation: Department of Surgery, Clinic of General, Visceral, Thoracic and Vascular Surgery, Ernst-Moritz-Arndt-University Hospital, Greifswald, Germany.
authors.forename: Anne
authors.initials: A
authors.lastname: Glitsch
authors.affiliation: Department of Surgery, Clinic of General, Visceral, Thoracic and Vascular Surgery, Ernst-Moritz-Arndt-University Hospital, Greifswald, Germany.
authors.forename: Hartmut
authors.initials: H
authors.lastname: Paul
authors.affiliation: Department of Surgery, Clinic of General, Visceral, Thoracic and Vascular Surgery, Ernst-Moritz-Arndt-University Hospital, Greifswald, Germany.
authors.forename: Claus-Dieter
authors.initials: CD
authors.lastname: Heidecke
keywords: Endoscopy; laparoscopy; migration; self-expanding stent