Endoscopic fenestration of duodenal stents using argon plasma to facilitate ERCP

Mark Topazian, Todd H. Baron

Research output: Contribution to journalArticlepeer-review

23 Scopus citations


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.

Original languageEnglish (US)
Pages (from-to)166-169
Number of pages4
JournalGastrointestinal endoscopy
Issue number1
StatePublished - Jan 2009

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Gastroenterology


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