Volume 2, Issue 8, Pages (August 2017)

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Volume 2, Issue 8, Pages 195-196 (August 2017) Removal of migrated biliary stent by use of an enteral stent in a patient with gastric outlet obstruction caused by nonresectable pancreatic adenocarcinoma with prior loop gastrojejunostomy Hiren Vallabh, MD VideoGIE Volume 2, Issue 8, Pages 195-196 (August 2017) DOI: 10.1016/j.vgie.2017.03.011 Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 1 A, Coronal plane of CT view of abdomen and pelvis with and without intravenous contrast medium showing migrated biliary stent in the second to third portion of the duodenum. B, Fluoroscopic scout film of migrated biliary stent in the right upper quadrant of the abdomen. C, Endoscopic view of duodenal bulb obstruction with intubation by a tandem catheter. D, Fluoroscopic view of duodenum confirming successful passage of guidewire, intubation of duodenal stricture with a tandem catheter, and contrast medium filling the lumen adjacent to migrated biliary stent. E, Fluoroscopic view of deployed duodenal stent over duodenal stricture and adjacent migrated biliary stent. F, Endoscopic view of migrated biliary stent being removed with rat-tooth forceps through a deployed duodenal stent. G, Fluoroscopic view showing only duodenal stent and confirming removal of migrated biliary stent. VideoGIE 2017 2, 195-196DOI: (10.1016/j.vgie.2017.03.011) Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions