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.
Original language | English (US) |
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Pages (from-to) | 166-169 |
Number of pages | 4 |
Journal | Gastrointestinal endoscopy |
Volume | 69 |
Issue number | 1 |
DOIs | |
State | Published - Jan 2009 |
ASJC Scopus subject areas
- Radiology Nuclear Medicine and imaging
- Gastroenterology