MD-OncoMD-OncoMD-Onco2782-32022782-6171Publishing House ABV Press16110.17650/2782-3202-2024-4-4-89-93RARE AND COMPLEX CLINICAL SITUATIONS: DIAGNOSIS AND SELECTION OF TREATMENT TACTICSРЕДКИЕ И СЛОЖНЫЕ КЛИНИЧЕСКИЕ СИТУАЦИИ: ДИАГНОСТИКА И ВЫБОР ТАКТИКИ ЛЕЧЕНИЯUse of transpapillary cholangioscopy in oncologyПрименение транспапиллярной холангиоскопии в онкологииhttps://orcid.org/0000-0002-7039-8857KurdanovaM. Yu.КурдановаМ. Ю.
Russian Federation

Madina Yusupovna Kurdanova

24 Kashirskoe Shosse, Moscow, 115522

Мадина Юсуповна Курданова

115522, Москва, Каширское шоссе, 24

Kurdanova.madina97@yandex.ruImaralievO. T.ИмаралиевО. Т.
Russian Federation

24 Kashirskoe Shosse, Moscow, 115522

115522, Москва, Каширское шоссе, 24

TimofeevM. E.ТимофеевМ. Е.
Russian Federation

24 Kashirskoe Shosse, Moscow, 115522

115522, Москва, Каширское шоссе, 24

N.N. Blokhin National Medical Research Center of Oncology, Ministry of Health of RussiaФГБУ «Национальный медицинский исследовательский центр онкологии им. Н.Н. Блохина» Минздрава России160120254489931601202516012025Copyright ©; 2025, ABV-PressCopyright ©; 2025, АБВ-пресс2025ABV-PressАБВ-прессhttps://mdonco.abvpress.ru/jour/about/editorialPolicieshttps://mdonco.abvpress.ru/jour/article/view/161

Stent migration is an important problem in stenting of the biliary and pancreatic ducts. It can lead to severe consequences including pancreatitis, cholangitis, duct perforation, sepsis, fistula formation. Removal of proximally migrated stents is complicated by duct diameter, their tortuosity, possible strictures.

The article presents 2 clinical cases of proximal migration of plastic stents from the common bile duct with successful use of the SpyGlass system to remove the migrated stents.

Актуальной проблемой при стентировании желчных и панкреатического протоков является миграция стента, которая может быть сопряжена с такими серьезными последствиями, как панкреатит, холангит, перфорация протока, сепсис, образование свищей. Удаление проксимально мигрировавших стентов затруднено из-за диаметра протоков, их извитого хода, возможного наличия стриктур.

В статье представлено 2 клинических случая проксимальной миграции пластиковых стентов из общего желчного протока с успешным применением системы SpyGlass с целью удаления мигрировавших стентов.

endoscopic retrograde cholangiopancreatographycholangioscopySpyGlassintraductal biopsymalignant stricture of the biliary ductэндоскопическая ретроградная холангиопанкреатографияхолангиоскопияSpyGlassвнутрипротоковая биопсиязлокачественная стриктура желчного протока1. Bagul A., Pollard C., Dennison A.R. A review of problems following insertion of biliary stents illustrated by an unusual complication. Ann R Coll Surg Engl 2010;92(4):W27-31. DOI: 10.1308/147870810X12659688852239.Bagul A., Pollard C., Dennison A.R. A review of problems following insertion of biliary stents illustrated by an unusual complication. Ann R Coll Surg Engl 2010;92(4):W27-31. DOI: 10.1308/147870810X12659688852239.2. Calcara C., Broglia L., Comi G., Balzarini M. Plastic biliary stent migration during multiple stents placement and successful endoscopic removal using intra-stent balloon inflation technique: a case report and literature review. Am J Case Rep 2016;17:65-9. DOI: 10.12659/ajcr.896076.Calcara C., Broglia L., Comi G., Balzarini M. Plastic biliary stent migration during multiple stents placement and successful endoscopic removal using intra-stent balloon inflation technique: a case report and literature review. Am J Case Rep 2016;17:65-9. DOI: 10.12659/ajcr.896076.3. Kotha S., Berry P., Webster G., Wong T. Cholangioscopic management of proximally migrated biliary stent using a novel through-the-cholangioscope snare. Endoscopy 2020;52(1):5-6. DOI: 10.1055/a-0977-2488.Kotha S., Berry P., Webster G., Wong T. Cholangioscopic management of proximally migrated biliary stent using a novel through-the-cholangioscope snare. Endoscopy 2020;52(1):5-6. DOI: 10.1055/a-0977-2488.4. Al Lehibi A., Al Mtawa A., Almasoudi T. Removal of proximally migrated biliary stents by using single-operator cholangioscopy. VideoGIE 2020;5(5):213-6. DOI: 10.1016/j.vgie.2020.01.001.Al Lehibi A., Al Mtawa A., Almasoudi T. Removal of proximally migrated biliary stents by using single-operator cholangioscopy. VideoGIE 2020;5(5):213-6. DOI: 10.1016/j.vgie.2020.01.001.5. Weaver M.J., Kushnir V.M. Endoscopic retrieval of a proximally migrated biliary stent using extracorporeal shockwave lithotripsy, electrohydraulic lithotripsy, and cholangioscopy with minisnare. VideoGIE 2021;6(5):231-3. DOI: 10.1016/j.vgie.2021.01.005.Weaver M.J., Kushnir V.M. Endoscopic retrieval of a proximally migrated biliary stent using extracorporeal shockwave lithotripsy, electrohydraulic lithotripsy, and cholangioscopy with minisnare. VideoGIE 2021;6(5):231-3. DOI: 10.1016/j.vgie.2021.01.005.6. Barakat M.T., Banerjee S. SpyCatcher: use of a novel cholangioscopic snare for capture and retrieval of a proximally migrated biliary stent. Dig Dis Sci 2018;63(12):3224-7. DOI: 10.1007/s10620-018-5228-8.Barakat M.T., Banerjee S. SpyCatcher: use of a novel cholangioscopic snare for capture and retrieval of a proximally migrated biliary stent. Dig Dis Sci 2018;63(12):3224-7. DOI: 10.1007/s10620-018-5228-8.