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Updated: Jul 12, 2025

Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction
Published on: March 25, 2022
Sems Sensibility: Biliary Stent Migration into the Oesophagus
Flaminia Frattaroli1, Marzia Varanese2, Anna Esposito2
1Department of Surgical Sciences, Sapienza University of Rome, Rome, Italy. flaminia.frattaroli@uniroma1.it.
A metallic biliary stent used for pancreatic cancer migrated to the esophagus. This rare complication was successfully managed with endoscopic removal, highlighting the need for vigilance during stent procedures.
Area of Science:
- Gastroenterology
- Medical Device Technology
Background:
- Endoprostheses, specifically fully-covered metal stents, are utilized for managing biliary and pancreatic disorders.
- These stents are often employed to palliate malignant strictures within the biliary tree.
Observation:
- A case involving a patient with pancreatic cancer is presented.
- The patient received a proximal metallic biliary stent as part of their treatment.
Findings:
- The metallic biliary stent migrated from its intended position to the esophagus.
- Endoscopic intervention was successfully performed to remove the migrated stent.
Implications:
- Proximal stent migration, though infrequent, represents a potential complication associated with metallic biliary stent placement.
- Clinicians should remain aware of this possibility to ensure patient safety and effective management.
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