ASGE DDW Videos from Around the World | 2023-A TECHNIQUE FOR LEAVING PERMANENT DOUBLE PIGTAIL PLASTIC STENTS DPPS AFTER RESOLUTION OF PANCREATIC FLUID COLLECTIONS PFC

A TECHNIQUE FOR LEAVING PERMANENT DOUBLE PIGTAIL PLASTIC STENTS DPPS AFTER RESOLUTION OF PANCREATIC FLUID COLLECTIONS PFC

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Video Transcription

Video Summary

The video discusses a technique for leaving permanent double pigtail plastic stents after resolving pancreatic fluid collections. It is explained that while transmural placements of lumen-opposing metal stents are commonly used to treat symptomatic pancreatic fluid collections, exchanging them for double pigtail plastic stents can be challenging due to the collapse of the cyst cavity. The video presents two cases that demonstrate an endoscopic method to improve the success of permanent double pigtail plastic stent placement. The method involves grasping the lumen-opposing metal stent and carefully pulling it out of the cyst gastrostomy tract, then manipulating it until it is pulled around the external plastic pigtails. This technique is considered more feasible, less time-consuming, and potentially cost-effective compared to conventional methods.

Asset Subtitle

Honorable Mention

Keywords

permanent double pigtail plastic stents

pancreatic fluid collections

transmural placements

lumen-opposing metal stents

endoscopic method