Gastrointestinal Endoscopy
Volume 67, Issue 7 , Pages 1170-1172, June 2008

A rare complication with extraction of proximally migrated biliary stent by using a basket catheter

Department of Gastroenterology, Hokkaido University, Graduate School of Medicine, Sapporo, Japan

Lawrence J. Brandt, MD, Editor, At the Focal Point Section

To access this article, please choose from the options below

Login to an existing account or Register a new account.

  • Purchase this article for 31.50 USD (You must login/register to purchase this article)

    Online access for 24 hours. The PDF version can be downloaded as your permanent record.

  • Subscribe to this title

    Get unlimited online access to this article and all other articles in this title 24/7 for one year.

  • Claim access now

    For current subscribers with Society Membership or Account Number.

  • Visit SciVerse ScienceDirect to see if you have access via your institution.

 CommentaryMigration of biliary stents occurs in up to about 6% of cases, and proximal migration is more common than distal migration. Such migration obviously is not desirable and, as in this case, when proximal, can precipitate cholangitis. As for the damage sustained to the ampulla, the invasive carcinoma is probably more responsible than the endoscopist. Extracellular matrix, including the interstitial matrix and the basement membrane, serves many functions, one of which is anchorage of cells. Metastasis, however, often destroys the extracellular matrix, thereby reducing tissue integrity. The architect William Buckminster Fuller once said, “Integrity is the essence of everything successful.” He was referring to a behavioral personality trait, but his statement also has relevance to the behavior of our tissues.Lawrence J. Brandt, MDAssociate Editor for Focal Points

PII: S0016-5107(07)03205-1

doi:10.1016/j.gie.2007.12.008

Gastrointestinal Endoscopy
Volume 67, Issue 7 , Pages 1170-1172, June 2008

Article Tools