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Stepwise Algorithmic Approach to Endoscopic Removal of Biliary Partially Covered and Uncovered Self-Expanding Metal Stents
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Deepanshu Jain, Assaf Stein, Muhammad K. Hasan
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Clin Endosc 2021;54(4):608-612. Published online September 8, 2020
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DOI: https://doi.org/10.5946/ce.2020.189
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 Abstract
 PDF Supplementary Material PubReader ePub
- Self-expanding metal stents play a crucial role in the management of patients with biliary obstruction. Endoscopic extraction of uncovered metal stents (UCMSs) and partially covered metal stents (PCMSs) could be challenging because of tissue ingrowth. No standardized technique can guarantee universal success. We present our technique and experience of endoscopic extraction of biliary stents in two patients with a UCMS and three patients with a PCMS. Three of the five patients had a previous failed attempt of stent extraction at an outside hospital. Overall, our composite success rate was 80% (4/5). The individual success rate was 100% (3/3) for PCMSs and 50% (1/2) for UCMSs. The stent-in-stent technique, in which a fully covered metal stent is placed through an existing UCMS/PCMS, was used in 60% (3/5) of the cases, with a success rate of 66.7% (2/3). We share our algorithmic approach to each case, with detailed emphasis on the technical aspects of the procedure.
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Citations
Citations to this article as recorded by  - Palliation in Gallbladder Cancer: The Role of Gastrointestinal Endoscopy
Tommaso Schepis, Ivo Boškoski, Andrea Tringali, Vincenzo Bove, Guido Costamagna
Cancers.2022; 14(7): 1686. CrossRef - Successful removal of an uncovered metallic stent using peroral direct cholangioscopy and the stent-in-stent technique
Akihiro Matsumi, Kazuyuki Matsumoto, Tatsuhiro Yamazaki, Shigeru Horiguchi, Koichiro Tsutsumi, Hironari Kato, Hiroyuki Okada
Endoscopy.2022; 54(S 02): E860. CrossRef - Role of ERCP in Benign Biliary Strictures
Tommaso Schepis, Ivo Boškoski, Andrea Tringali, Guido Costamagna
Gastrointestinal Endoscopy Clinics of North America.2022; 32(3): 455. CrossRef
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Endoscopic Ultrasound-Guided Fine Needle Aspiration in Cystic Pancreatic Lesions
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Robert H. Hawes, James Clancy, Muhammad K. Hasan
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Clin Endosc 2012;45(2):128-131. Published online June 30, 2012
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DOI: https://doi.org/10.5946/ce.2012.45.2.128
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Abstract
PDFPubReaderePub
Incidental pancreatic cysts are being increasingly recognized recently with incremented concern about health and frequent health check-up. Endoscopic ultrasound (EUS) has emerged as the principal modality for imaging pancreas for various pancreatic diseases including pancreatic cyst. But imaging alone cannot accurately identify the exact nature of the pancreatic cyst. EUS-guided fine needle aspiration is a useful adjunctive procedure to differentiate pancreatic cystic lesions. Cystic fluid analysis with cytologic evaluation is important to diagnose etiology of pancreatic cystic lesions, helping the clinician to more accurately assess the presence or potential for malignancy. -
Citations
Citations to this article as recorded by - Lymphoepithelial cyst mimicking malignant pancreatic signs: a case report
Christian Teske, Jürgen Weitz, Frieder Meier, Jens-Peter Kühn, Carina Riediger
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Christopher J. VandenBussche, Zahra Maleki
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Patrick C. Freeny, Michael D. Saunders
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