Dissection and removal of bile duct plastic stents penetrating the duodenal papilla: report of three rare cases

Masakatsu Nakamura; Toshimi Otsuka; Ranji Hayashi; Tomoe Horita; Masafumi Ota; Naoko Sakurai; Hikaru Takano; Tasuku Hayashi; Seiko Miura; Nobuhiko Ueda; Hiroyuki Takamura; Tomiyasu Arisawa

doi:10.1007/s12328-021-01435-1

Dissection and removal of bile duct plastic stents penetrating the duodenal papilla: report of three rare cases

Masakatsu Nakamura, Toshimi Otsuka, Ranji Hayashi, Tomoe Horita, Masafumi Ota, Naoko Sakurai, Hikaru Takano, Tasuku Hayashi, Seiko Miura, Nobuhiko Ueda, Hiroyuki Takamura, Tomiyasu Arisawa

Research output: Contribution to journal › Article › peer-review

Abstract

We encountered three cases with incidental penetration of a straight Amsterdam-type bile duct plastic stent into the duodenal papilla. All patients had undergone insertion of a biliary plastic stent due to common bile duct stones. However, in all three cases, we observed penetration of the biliary plastic stent into the duodenal papilla just before the elective surgery or at the time of plastic stent replacement. We, therefore, performed stent dissection using a bipolar snare and were able to safely remove the plastic stents in all three cases. We believe that this is the first report of plastic stent dissection using a bipolar snare.

Original language	English
Pages (from-to)	1255-1262
Number of pages	8
Journal	Clinical Journal of Gastroenterology
Volume	14
Issue number	4
DOIs	https://doi.org/10.1007/s12328-021-01435-1
Publication status	Published - 08-2021
Externally published	Yes

All Science Journal Classification (ASJC) codes

Gastroenterology

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10.1007/s12328-021-01435-1

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title = "Dissection and removal of bile duct plastic stents penetrating the duodenal papilla: report of three rare cases",

abstract = "We encountered three cases with incidental penetration of a straight Amsterdam-type bile duct plastic stent into the duodenal papilla. All patients had undergone insertion of a biliary plastic stent due to common bile duct stones. However, in all three cases, we observed penetration of the biliary plastic stent into the duodenal papilla just before the elective surgery or at the time of plastic stent replacement. We, therefore, performed stent dissection using a bipolar snare and were able to safely remove the plastic stents in all three cases. We believe that this is the first report of plastic stent dissection using a bipolar snare.",

author = "Masakatsu Nakamura and Toshimi Otsuka and Ranji Hayashi and Tomoe Horita and Masafumi Ota and Naoko Sakurai and Hikaru Takano and Tasuku Hayashi and Seiko Miura and Nobuhiko Ueda and Hiroyuki Takamura and Tomiyasu Arisawa",

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year = "2021",

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doi = "10.1007/s12328-021-01435-1",

language = "English",

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TY - JOUR

T1 - Dissection and removal of bile duct plastic stents penetrating the duodenal papilla

T2 - report of three rare cases

AU - Nakamura, Masakatsu

AU - Otsuka, Toshimi

AU - Hayashi, Ranji

AU - Horita, Tomoe

AU - Ota, Masafumi

AU - Sakurai, Naoko

AU - Takano, Hikaru

AU - Hayashi, Tasuku

AU - Miura, Seiko

AU - Ueda, Nobuhiko

AU - Takamura, Hiroyuki

AU - Arisawa, Tomiyasu

PY - 2021/8

Y1 - 2021/8

N2 - We encountered three cases with incidental penetration of a straight Amsterdam-type bile duct plastic stent into the duodenal papilla. All patients had undergone insertion of a biliary plastic stent due to common bile duct stones. However, in all three cases, we observed penetration of the biliary plastic stent into the duodenal papilla just before the elective surgery or at the time of plastic stent replacement. We, therefore, performed stent dissection using a bipolar snare and were able to safely remove the plastic stents in all three cases. We believe that this is the first report of plastic stent dissection using a bipolar snare.

AB - We encountered three cases with incidental penetration of a straight Amsterdam-type bile duct plastic stent into the duodenal papilla. All patients had undergone insertion of a biliary plastic stent due to common bile duct stones. However, in all three cases, we observed penetration of the biliary plastic stent into the duodenal papilla just before the elective surgery or at the time of plastic stent replacement. We, therefore, performed stent dissection using a bipolar snare and were able to safely remove the plastic stents in all three cases. We believe that this is the first report of plastic stent dissection using a bipolar snare.

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JO - Clinical Journal of Gastroenterology

JF - Clinical Journal of Gastroenterology

IS - 4

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Dissection and removal of bile duct plastic stents penetrating the duodenal papilla: report of three rare cases

Abstract

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