ERCP-ENDOSCOPIC RETRIEVAL OF A PROXIMALLY MIGRATED BILIARY STENT USING ESWL, EHL, AND CHOLANGIOSCOPY WITH A MINI-SNARE

ENDOSCOPIC RETRIEVAL OF A PROXIMALLY MIGRATED BILIARY STENT USING ESWL, EHL, AND CHOLANGIOSCOPY WITH A MINI-SNARE

Video Transcription

Video Summary

In this video, the case of a 69-year-old female with a migrated biliary stent is presented. The patient had a history of choledocal lithiasis and underwent ERCP in 2014 with stone removal and stent placement. However, she was lost to follow-up and presented to another hospital six years later with pain and fevers. Attempts to remove the migrated stent using a balloon and lithotripsy basket were unsuccessful. Repeat ERCP was done, and cholangioscopy-directed lithotripsy was performed, but complete stone fragmentation was not achieved. Finally, the stent was removed using a mini snare, and further stone removal was done with lithotripsy and balloon sweeps. The video demonstrates the successful use of various techniques for the retrieval of a migrated biliary stent with stone impaction, emphasizing the importance of timely stent removal to prevent complications.

Asset Subtitle

Honorable Mention

Keywords

biliary stent

migrated stent

choledocal lithiasis

ERCP

stone removal