Spontaneous migration of a dedicated plastic stent after endoscopic ultrasound-guided hepaticogastrostomy in a patient with surgically altered anatomy: a case report.

Kei Yane, Takayuki Imagawa, Masahiro Yoshida
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Abstract

Objective: We report a case of spontaneous migration of a dedicated plastic stent after endoscopic ultrasound-guided hepaticogastrostomy (EUS-HGS) in a patient with surgically altered anatomy. Patient: The patient was a male in his 70s. He underwent EUS-HGS with the successful insertion of a dedicated plastic stent and had no obvious postprocedural complications. However, nine days after the procedure, the patient visited our hospital because of abdominal pain, fever, and stent excretion. We performed EUS-HGS with antegrade stenting, after which the patient had no further complications. Conclusion: Stent migration is considered a complication requiring caution when performing EUS-HGS in patients with surgically altered anatomy.

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在内镜超声引导下对一名解剖结构改变的患者进行肝胃造口术后,专用塑料支架自发移位:病例报告。
目的:我们报告了一例在内镜超声引导下进行肝胃造口术(EUS-HGS)的患者因手术解剖结构改变而导致专用塑料支架自发移位的病例。患者:患者是一名 70 多岁的男性。他接受了 EUS-HGS 手术,成功植入了专用塑料支架,术后无明显并发症。然而,术后九天,患者因腹痛、发热和支架排泄物而到我院就诊。我们为患者实施了 EUS-HGS 前行支架置入术,术后患者未再出现并发症。结论支架移位被认为是一种并发症,在对解剖结构有手术改变的患者实施 EUS-HGS 时需要谨慎。
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