ENDOSCOPIC REMOVAL OF AN EMBEDDED UNCOVERED BILIARY SELF EXPANDABLE METAL STENTS WITH A MECHANICHAL LITHOTRIPTOR.

Abstract

A 66 year-old male referred to our hospital two years ago for jaundice an a clinical, radiological and endosonographic suspicion of advanced pancreatic cancer though not confirmed by EUS- FNA cytology who was treated successfully with an uncovered biliary self-expandable metal stent (uSEMS). However, an IgG4 disease was diagnosed during follow-up. The patient developed recurrent episodes of cholangitis so removal of the uSEMS was mandatory and use of a mechanical lithotripter was implemented. We consider the use of this device easier than other techniques due to the traction force that can be achieved.