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KMID : 0882420130850030297
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Korean Journal of Medicine
2013 Volume.85 No. 3 p.297 ~ p.301
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A Case of Acute Pancreatitis Caused by Distal Migration of a Pyloric Covered Self-Expandable Metal Stent
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Shin Chun-Ho
Jeong Seok
Lee Don-Haeng
Kim Seong-Hyun
Kim Gyung-Eun
Park Sung-Wook
Bang Byoung-Wook
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Abstract
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Endoscopic metal stent insertion has been widely performed to palliatively treat gastrointestinal (GI) tract obstruction in patients with cancer. The use of metal stents for benign strictures of the GI tract is increasing due to the low risk of major complications other than stent migration. The incidence of acute pancreatitis after placing a GI tract metal stent is rare. Herein, we report a case of acute pancreatitis caused by a covered metal stent that was initially inserted for a benign stricture of a gastroduodenal anastomosis that developed after the operation, then distally migrated, bent into a U-shape, and impacted into the second portion of the duodenum in a 56-year-old female who underwent a Billroth- I gastrectomy due to gastric cancer.
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KEYWORD
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Pancreatitis, Gastric outlet obstruction
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