Endoscopic removal of an inward migrated pancreatic duct stent with use of a dilator скачать в хорошем качестве

Endoscopic removal of an inward migrated pancreatic duct stent with use of a dilator

Reference: https://www.videogie.org/article/S246... The endoscopic retrieval of a pancreatic duct stent that has migrated inward is a complex procedure that requires precision and skill. In this case, the intervention involves the use of a small biopsy forceps, which is specifically designed to grasp and manipulate delicate structures within the gastrointestinal tract. The procedure begins with the careful insertion of a dilator, which serves to create a pathway for the forceps to access the stent. This step is crucial, as it ensures that the surrounding tissues are not damaged during the retrieval process, thereby minimizing the risk of complications. Once the dilator is in place, the small biopsy forceps are introduced through the dilator's channel. The endoscopist must navigate the forceps with great care to locate the stent accurately. This requires a thorough understanding of the anatomy and the use of imaging techniques to visualize the stent's position within the pancreatic duct. The forceps are then employed to grasp the stent securely, allowing for its gentle extraction. Throughout this process, the endoscopist must remain vigilant to avoid any inadvertent injury to the duct or surrounding structures. Following the successful removal of the stent, the endoscopist will typically assess the duct for any signs of damage or obstruction. This evaluation is essential to ensure that the pancreatic duct is functioning properly and to determine if any further interventions are necessary. The entire procedure is performed under sedation, and patients are monitored closely for any post-procedural complications. Ultimately, the endoscopic removal of an inward migrated pancreatic duct stent using a small biopsy forceps through a dilator exemplifies the intricate balance of technique and technology in modern gastroenterological practice.