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Successful Removal of a Biliary Stent in the Jejunum Using Double-Balloon Enteroscopy

Arash Dooghaie Moghadam, Niloofar Razavi-Khorasani, Pegah Eslami, Sandra Saeedi, Ermia Farokhi, Bobak Moazzami, Azim Mehrvar, Shahrokh Iravani, Mahmood Reza Hashemi, Masoud Dooghaie Moghadam
Background: Plastic biliary stent placement has been widely used as a safe approach for the management of hilar neoplasms or the dilation of benign biliary obstruction. Despite the complexity of this procedure, this approach is followed by a few complications. The incidence rate of stent migration is about 10%. In a majority of cases, the migrated stents are retained within the gastrointestinal tract and pass through the intestine with no complication or need for medical intervention. Case Report: In this paper, we described the case of the migrated biliary stent with prolonged abdominal pain, which was removed successfully by using double-balloon. Conclusion: In the case of patient with prolonged abdominal pain and previous history of biliary stent placement, migration of stent should be considered as differential diagnosis and Double-Balloon Enteroscopy can be a safe approach in those cases.[GMJ.2020;9:e1809]
Double-Balloon Enteroscopy; Device Removal; Bile Duct; Stents; Cholangiopancreatography; Endoscopic Retrograde

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