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Endoscopic recovery of multiple migrated plastic stents during EUS-guided transmural drainage of pancreatic fluid collections

Published:February 21, 2017DOI:https://doi.org/10.1016/j.gie.2017.02.011
      EUS-guided transmural drainage of pancreatic fluid collections is widely used, and multiple stents and nasocystic drainage are necessary for effective drainage in cases of pancreatic necrosis. Stent migration into the necrotic cyst is a possible adverse event of such procedures. Retrieval of migrated stents by the direct insertion of an endoscope into the cyst can be considered, but there is a high incidence of severe adverse events. We describe a case of multiple plastic stent migration into a pancreatic necrotic cyst, in which the stents were successfully recovered by use of a minimally invasive endoscopic technique.
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