Volume 2, Issue 3, Pages (March 2017)

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Volume 2, Issue 3, Pages 46-47 (March 2017) Endoscopic recovery of multiple migrated plastic stents during EUS-guided transmural drainage of pancreatic fluid collections Takao Nishikawa, MD, PhD VideoGIE Volume 2, Issue 3, Pages 46-47 (March 2017) DOI: 10.1016/j.vgie.2016.12.012 Copyright © 2017 The Authors Terms and Conditions

Figure 1 A, Coronal section of a contrast-enhanced CT image showing pancreatic walled-off necrosis with spontaneous rupture located around the stomach. B, EUS view showing an aspiration needle punctured into the pancreatic necrotic cyst. C, Fluoroscopic view showing that a fistula of the stomach and the pancreatic necrotic cyst was dilated using a dilation balloon catheter. D, Fluoroscopic view showing that released plastic stents appeared to be away from the endoscope in the stomach and within the pancreatic necrotic cyst. E, Endoscopic view showing only the nasocystic catheter from the fistula without the plastic stents; migration of the stents into the pancreatic necrotic cyst was suspected. F, Endoscopic view showing the tip of a cannulation catheter directed to the fistula to pass a guidewire into the fistula. G, Endoscopic view showing that a snare was inserted into the pancreatic necrotic cyst alongside a nasocystic catheter through the fistula. H, Endoscopic view showing the nasocystic catheter and 2 plastic stents from the fistula. I, Fluoroscopic view showing the 2 successfully recovered plastic stents and the nasocystic catheter for transgastric drainage of the pancreatic necrotic cyst (arrowheads). VideoGIE 2017 2, 46-47DOI: (10.1016/j.vgie.2016.12.012) Copyright © 2017 The Authors Terms and Conditions