Endoscopy 2001; 33(3): 289-290
DOI: 10.1055/s-2001-12813
Case Report
© Georg Thieme Verlag Stuttgart · New York

Argon Plasma Endoscopic Section of Biliary Metallic Prostheses

J. F. Demarquay, R. Dumas, E. P. Peten, P. Rampal
  • Dept. of Gastroenterology, Archet II, University Hospital, Nice, France
Further Information

Publication History

Publication Date:
31 December 2001 (online)

We report our recent experience of using argon plasma to endoscopically cut biliary Wallstent prostheses in these patients. The first patient had a bleeding duodenal ulceration caused by the impaction of the prosthesis meshes whereas the second patient had an ill-positioned biliary stent with impaction into the opposite duodenal wall. Both prostheses were shortened using argon plasma. In the third patient, the lower extremity of a obstructed biliary Wallstent was positioned in the third duodenum preventing its endoscopic catheterization. After shortening using argon plasma, a new plastic stent could be inserted to allow drainage. The outcomes in these cases demonstrate the feasibility of endoscopically shortening metallic Wallstents after release using argon plasma.

References

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J. F. Demarquay, M.D.

Service de Gastroentérologie
Hôpital Universitaire, Archet II

51 route de Saint Antoine de Ginestière
06202 Nice Cédex 03
France


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Email: E-mail:demarquay.jf@chu-nice.fr