Art in Endoscopy: A metal daisy

After creation of a hepaticogastrostomy, a first stent (the outer stent with a distal flare seen in the image) was found to be too short. We inserted a longer second SEMS, using the stent-in-stent technique, to secure the hepaticogastrostomy tract. The distal ends of the two stents had an accidental resemblance to the composite flower of a daisy.

Thanawat Luangsukrerk, Pradermchai Kongkam, Gastrointestinal Endoscopy Excellence Center, Department of Medicine, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, Thai Red Cross Society, Bangkok, Thailand

Fig. 1 Two self-expanding metal stents inserted using the stent-in-stent technique to secure a hepaticogastrostomy.

Publication History

Article published online:
22 April 2021