ASGE DDW Videos from Around the World | 2023-ENDOSCOPIC RETRIEVAL OF PROXIMALLY MIGRATED BILIARY STENTS

ENDOSCOPIC RETRIEVAL OF PROXIMALLY MIGRATED BILIARY STENTS

Video Transcription

Video Summary

The video discusses the endoscopic retrieval of proximally migrated biliary stents using single-operator cholangioscopy. Stent migration is a rare complication of ERCP, occurring in 1.7 to 10% of cases, and is associated with adverse events. There are no definitive recommendations for stent removal. Various techniques with extraction tools are used with variable success but can cause complications. Two cases were presented, one with a patient who had a severely stenotic esophagus and another with a distal CBD stricture. Both cases had successful stent retrieval using single-operator cholangioscopy. This method allows for direct visualization and accurate location identification, making it a potentially safer option for stent retrieval. Further data is needed to support this practice.

Asset Subtitle

Honorable Mention

Keywords

endoscopic retrieval

proximally migrated biliary stents

single-operator cholangioscopy

stent migration

complications