Year 2023 / Volume 115 / Number 12
Letter
Bending the distal tip of a guidewire aids in cannulation of an occluded uncovered biliary metal stent

728-729

DOI: 10.17235/reed.2023.9749/2023

Yaoting Li, Hao Wang, Tingting Yu, Senlin Hou, Lichao Zhang,

Abstract
Biliary metal stent implantation is an effective treatment for malignant obstructive jaundice. But it's well known that stents put in for a long time can become occluded and cause jaundice and cholangitis. At this time, endoscopic intervention is usually required to replace the stent or re-insert the stent. Re-cannulation for metal stent occlusion is challenging because the guide wire may pass through the side holes of the uncovered metal stents, resulting in prolonged surgical time and exposure to radiation. Here we present a small tip that may help endoscopists complete the re-cannulation of an uncovered metal stent in a very short time.
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References
1. Ito K, Ogawa T, Horaguchi J, et al. Reintervention for occluded biliary metal stent for patients with malignant distal biliary stricture[J]. Dig Endosc 2013; 25(S2):126-131.
2. Dumonceau J M, Tringali A, Blero D, et al. Biliary stenting: Indications, choice of stents and results: European Society of Gastrointestinal Endoscopy (ESGE) clinical guideline[J]. Endosc 2012; 44(03):277-298.
3. O’Brien S, Hatfield AR, Craig PI et al. A three year follow-up of self-expanding metal stents in the endoscopic palliation of longterm survivors with malignant biliary obstruction. Gut 1995; 36: 618-621
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Citation tools
Li Y, Wang H, Yu T, Hou S, Zhang L. Bending the distal tip of a guidewire aids in cannulation of an occluded uncovered biliary metal stent. 9749/2023


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Publication history

Received: 28/05/2023

Accepted: 15/06/2023

Online First: 27/06/2023

Published: 12/12/2023

Article revision time: 10 days

Article Online First time: 30 days

Article editing time: 198 days


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