Endoscopic removal of a migrated cystogastrostomy double pigtail stent through a pancreatico-duodenal fistula tract.

Abstract

A common complication of pancreatitis is pseudocyst formation. Endoscopic drainage is a widely used treatment for pancreatic pseudocysts, and offers a definitive solution in approximately 75% of cases. Drainage-related complications may be related directly to the procedure or may occur later as stents and drains migrate or erode into adjacent structures. Procedure-related complications included bleeding, pancreatitis, and infection while stent-related complications may involve dislocation or clogging with subsequent infection. This report is the first description of the successful endoscopic removal of a migrated cystogastrostomy double pigtail stent through a pancreatico-duodenal fistula tract that developed more than six years after the stent was originally misplaced into a pseudocyst.

• Authors: Il Hyung Chung, Hee Wook Kim, Dong Ki Lee
• Journal: Journal of interventional gastroenterology (J Interv Gastroenterol) Vol. 1 Issue 3 Pg. 142-144 (Jul 2011) ISSN: 2154-1280 [Print] China
• PMID: 22163088 (Publication Type: Journal Article)