Development of Severe Acute Pancreatitis Following Uncovered Metallic Stent Placement: A Rare Case Report.

Development of Severe Acute Pancreatitis Following Uncovered Metallic Stent Placement: A Rare Case Report. Intern Med. 2020 Dec 29;: Authors: Takaoka M, Shimatani M, Takayama T, Miyoshi H, Mitsuyama T, Masuda M, Ito T, Nakamaru K, Miyamoto S, Tokuhara M, Ikeura T, Okazaki K, Naganuma M Abstract Self-expandable metallic stents (SEMSs) are widely used for malignant biliary stricture (MBS). Acute pancreatitis is an early complication following SEMS placement. In the present case, the patient developed severe acute pancreatitis after SEMS placement for MBS because of metastatic lymph nodes. Endoscopic retrograde cholangiopancreatography, endoscopic sphincterotomy and an endoscopic nasobiliary drainage tube placement were performed. After seven days, an uncovered SEMS was placed; however, severe acute pancreatitis occurred, and the SEMS was drawn out emergently. In SEMS placement for patients with MBS caused by non-pancreatic cancer, SEMS should be selected carefully while considering each patient's case. PMID: 33390497 [PubMed - as supplied by publisher]
Source: Internal Medicine - Category: Internal Medicine Tags: Intern Med Source Type: research