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Endoscopic removal of a metal stent that migrated into the peritoneal cavity after EUS-guided hepaticogastrostomy.

07:00 EST 8th February 2019 | BioPortfolio

Summary of "Endoscopic removal of a metal stent that migrated into the peritoneal cavity after EUS-guided hepaticogastrostomy."

Endoscopic ultrasound-guided hepaticogastrostomy (EUS-HGS) is useful as an alternative biliary drainage for patients with a difficult biliary approach, but the procedure has a high complication rate . We present a case in which a stent that migrated into the peritoneal cavity was removed endoscopically under fluoroscopic guidance. A 72-year-old male with esophageal cancer presented to our department for treatment of obstructive jaundice. Metastatic peritonitis caused stricture of the distal bile duct and the duodenum. He underwent EUS-HGS and received a long, partially covered metal stent (LP-CMS; Niti-S Modified-GIOBOR stent, TaeWoong Medical, Seoul, Korea). This article is protected by copyright. All rights reserved.

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Journal Details

This article was published in the following journal.

Name: Digestive endoscopy : official journal of the Japan Gastroenterological Endoscopy Society
ISSN: 1443-1661
Pages:

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Medical and Biotech [MESH] Definitions

Portable peritoneal dialysis using the continuous (24 hours a day, 7 days a week) presence of peritoneal dialysis solution in the peritoneal cavity except for periods of drainage and instillation of fresh solution.

Disorder characterized by a wide range of structural changes in PERITONEUM, resulting from fibrogenic or inflammatory processes. Peritoneal fibrosis is a common complication in patients receiving PERITONEAL DIALYSIS and contributes to its gradual decrease in efficiency.

Natural openings in the subdiaphragmatic lymphatic plexus in the PERITONEUM, delimited by adjacent mesothelial cells. Peritoneal stomata constitute the principal pathways for the drainage of intraperitoneal contents from the PERITONEAL CAVITY to the LYMPHATIC SYSTEM.

Fiberoptic endoscopy designed for duodenal observation and cannulation of VATER'S AMPULLA, in order to visualize the pancreatic and biliary duct system by retrograde injection of contrast media. Endoscopic (Vater) papillotomy (SPHINCTEROTOMY, ENDOSCOPIC) may be performed during this procedure.

Uptake of substances from the PERITONEAL CAVITY.

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