Endoscopic fenestration of duodenal stents using argon plasma to facilitate ERCP.

Abstract:

BACKGROUND:The presence of a duodenal stent may hinder attempts at ERCP for treatment of malignant biliary obstruction. OBJECTIVE:We describe 2 patients in whom endoscopic fenestration of indwelling duodenal stents with an argon plasma coagulator facilitated successful ERCP. DESIGN:Single-center retrospective case series. SETTING:Tertiary-referral center. PATIENTS:Both patients had unresectable biliary malignancy with both duodenal and biliary obstruction. INTERVENTION AND RESULTS:Windows were cut into indwelling duodenal stents with argon plasma, which exposed the underlying papilla and allowed successful ERCP and stent placement. LIMITATIONS:Retrospective study and the small sample size. CONCLUSIONS:Fenestration of duodenal stents using argon plasma is a simple technique that can facilitate ERCP.

journal_name

Gastrointest Endosc

authors

Topazian M,Baron TH

doi

10.1016/j.gie.2008.08.026

subject

Has Abstract

pub_date

2009-01-01 00:00:00

pages

166-9

issue

1

eissn

0016-5107

issn

1097-6779

pii

S0016-5107(08)02484-X

journal_volume

69

pub_type

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