SpyGlass pancreatoscopy-guided cannulation and retrieval of a deeply migrated pancreatic duct stent

Abstract

Proximal (upstream) migration of pancreatic duct stents is a recognized complication that occurs in up to 5.2 % of patients [1], and stent retrieval is important to prevent long-term serious ductal damage. Reported techniques to remove proximally migrated pancreatic duct stents include balloon extraction, direct snare or forceps grasp, and wire cannulation with snare capture. We report a novel technique using the SpyGlass Direct Visualization System (Boston Scientific, Natick, Massachusetts, USA).