ASGE DDW Videos from Around the World | 2025-EUS GUIDED REMOVAL OF INTERNALLY MIGRATED & FRACTURED PANCREATIC STENT

EUS GUIDED REMOVAL OF INTERNALLY MIGRATED & FRACTURED PANCREATIC STENT

Video Transcription

Video Summary

Dr. Neelam Mehta's team detailed a complex case of removing a migrated and fractured pancreatic stent. Stent removal poses significant challenges, particularly in non-dilated pancreatic ducts, where traditional methods often fail. Various techniques, including using foreign body forceps, were employed after unsuccessful attempts with other methods such as stent-in-stent or balloon techniques. The team highlighted the difficulty in identifying the pancreatic orifice due to post-papillotomy stenosis. Despite the complexities, the stent was successfully removed through EUS-guided access. The importance of careful maneuvering and using accessories to prevent complications like pancreatitis was emphasized as crucial.

Asset Subtitle

Nilay Mehta

Keywords

pancreatic stent removal

EUS-guided access

post-papillotomy stenosis

foreign body forceps

pancreatitis prevention