Argon plasma coagulation, Metallic stent, Trimming"/> A Case of Argon Plasma Trimming of a Biliary Metallic Stent Causing a Duodenal Obstruction
Korean J Gastrointest Endosc > Volume 42(3); 2011 > Article
Korean Journal of Gastrointestinal Endoscopy 2011;42(3): 195-200.
십이지장 폐쇄를 유발한 총담관 금속 스텐트의 아르곤 플라즈마 절단술 1예
조준형ㆍ동석호ㆍ조창현ㆍ장재영ㆍ김효종ㆍ김병호ㆍ장영운ㆍ장린
경희대학교 의과대학 내과학교실
A Case of Argon Plasma Trimming of a Biliary Metallic Stent Causing a Duodenal Obstruction
Jun-Hyung Cho, M.D., Seok Ho Dong, M.D., Chang Hyun Cho, M.D., Jae Young Jang, M.D., Hyo Jong Kim, M.D., Byung-Ho Kim, M.D., Young Woon Chang, M.D. and Rin Chang, M.D.
Department of Internal Medicine, Kyunghee University College of Medicine, Seoul, Korea
Abstract
Metallic stents are being widely used in patients with a malignant obstruction of the biliary tract. The advent of metallic stents was heralded as a solution to the problem of plastic stent occlusion. Metallic stents prolong stent patency by lowering occlusion rates, but they may malfunction for several reasons, including occlusion from tumor ingrowth or migration after the procedure. Distal migration or impaction of metallic stents against the duodenal wall may cause severe complications, including duodenal obstruction, perforation and acute upper gastrointestinal bleeding. Several techniques have been developed to manage distal migration of a biliary metallic stent and remove the malfunctioning stent endoscopically. We report on a 43-year-old male who underwent endoscopic palliative biliary drainage because of obstructive pancreatic head cancer. We transected the distal end of the metallic stent using an argon plasma coagulator, treating the duodenal obstruction without any complications. (Korean J Gastrointest Endosc 2011;42:195-200)
Key Words: Argon plasma coagulation, Metallic stent, Trimming
주요어: 아르곤 플라즈마 응고술, 금속 스텐트, 트리밍
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