ArticleSurgery today2018
Successful removal of an internal pancreatic stent that migrated into the bile duct using double-balloon enteroscopy after pancreaticoduodenectomy.
Article in Surgery today, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed, 8 citations in OpenAlex.
- Internal stent angle as a risk factor for jejunal penetration after pancreaticoduodenectomy: The efficacy of a modified insertion technique.Surgery today · 2026Article
- Article
- Risk factors of textbook outcome in laparoscopic pancreatoduodenectomy: results from a prospective high-volume center study.BMC surgery · 2024Article
- Endoscopic removal of proximally migrated stents using a double-balloon enteroscope in patients with bowel reconstruction (with video).DEN open · 2022Article
- Cholangitis Caused by a Migrated Pancreatic Duct Stent Into the Bile Duct After Pancreaticoduodenectomy.ACG case reports journal · 2020Article
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Authors and funding
10 authors at 1 institution in 1 country.
Funding
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Abstract
purposeInternal stents used during pancreaticoduodenectomy (PD) are generally spontaneously passed through the rectum by defecation. However, we encountered six patients with internal stents that migrated into the bile duct after PD. We herein report the outcomes of these six patients and the usefulness of double-balloon enteroscopy (DBE) for removal of such stents from the bile duct.
methodsAn internal stent was placed across pancreaticojejunostomy in 416 (68.8%) of 605 consecutive patients undergoing PD between 2005 and 2015. This study evaluated the characteristics and outcomes of the six patients whose internal stent migrated into the bile duct.
resultsMigration of an internal stent into the bile duct was found during follow-up computed tomography (CT) in 6 (1.4%) of 416 patients who had an internal stent placed during PD. Three patients developed stent-induced cholangitis, and two had bile duct stones. Excluding one patient whose internal stent spontaneously slipped out and disappeared from the bile duct, all patients underwent successful removal of a stent from the bile duct by a single instance of biliary intervention involving DBE.
conclusionsRemoval of a stent from the bile duct using DBE is a feasible and useful procedure that should be considered if an internal stent is detected during follow-up CT after PD.
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