title: Plastic Biliary Stent Migration During Multiple Stents Placement and Successful Endoscopic Removal Using Intra-Stent Balloon Inflation Technique: A Case Report and Literature Review.
abstract: BACKGROUND
  Late migration of a plastic biliary stent after endoscopic placement is a well known complication, but there is little information regarding migration of a plastic stent during multiple stents placement.
  
  
  METHODS
  A white man was hospitalized for severe jaundice due to neoplastic hilar stenosis. Surgical eligibility appeared unclear on admission and endoscopy was carried out, but the first stent migrated proximally at the time of second stent insertion. After failed attempts with various devices, the migrated stent was removed successfully through cannulation with a dilation balloon.
  
  
  CONCLUSIONS
  The migration of a plastic biliary stent during multiple stents placement is a possible complication. In this context, extraction can be very complicated. In our patient, cannulation of a stent with a dilation balloon was the only effective method.
authors: Unit of Gastroenterology, SS Trinità Hospital, Borgomanero, Italy.
authors: Calcedonio
authors: C
authors: Calcara
authors: Unit of Gastroenterology, SS Trinità Hospital, Borgomanero, Italy.
authors: Laura
authors: L
authors: Broglia
authors: Unit of Gastroenterology, SS Trinità Hospital, Borgomanero, Italy.
authors: Giovanni
authors: G
authors: Comi
authors: Unit of Gastroenterology, SS Trinità Hospital, Borgomanero, Italy.
authors: Marco
authors: M
authors: Balzarini
mesh_terms: D000368:Aged; D002760:Cholangiopancreatography, Endoscopic Retrograde; D002780:Cholestasis, Intrahepatic / Q000601:surgery; D020878:Device Removal / Q000295:instrumentation* / Q000379:methods*; D005548:Foreign-Body Migration / Q000601:surgery*; D006801:Humans; D008297:Male; D015607:Stents / Q000009:adverse effects*