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http://dx.doi.org/10.3904/kjm.2013.85.3.297

A Case of Acute Pancreatitis Caused by Distal Migration of a Pyloric Covered Self-Expandable Metal Stent  

Shin, Chun Ho (Department of Internal Medicine, Inha University School of Medicine)
Jeong, Seok (Department of Internal Medicine, Inha University School of Medicine)
Lee, Don Haeng (Department of Internal Medicine, Inha University School of Medicine)
Kim, Seong Hyun (Department of Internal Medicine, Inha University School of Medicine)
Kim, Kyung Eun (Department of Internal Medicine, Inha University School of Medicine)
Park, Sung Wook (Department of Internal Medicine, Inha University School of Medicine)
Bang, Byung Wook (Department of Internal Medicine, Inha University School of Medicine)
Publication Information
The Korean Journal of Medicine / v.85, no.3, 2013 , pp. 297-301 More about this Journal
Abstract
Endoscopic metal stent insertion has been widely performed to palliatively treat gastrointestinal (GI) tract obstruction in patients with cancer. The use of metal stents for benign strictures of the GI tract is increasing due to the low risk of major complications other than stent migration. The incidence of acute pancreatitis after placing a GI tract metal stent is rare. Herein, we report a case of acute pancreatitis caused by a covered metal stent that was initially inserted for a benign stricture of a gastroduodenal anastomosis that developed after the operation, then distally migrated, bent into a U-shape, and impacted into the second portion of the duodenum in a 56-year-old female who underwent a Billroth-I gastrectomy due to gastric cancer.
Keywords
Pancreatitis; Gastric outlet obstruction;
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