Endoscopic replacement technique for migrated lumen-apposing metal stent during endoscopic pancreatic necrosectomy

摘要

Next, we removed the LAMS through the endoscope us- ing a 10-mm snare (Olympus). We inserted the 10-mm snare into the LAMS and grasped the distal flange. The wire of the snare was carefully slid to the end of the LAMS. After this, we changed to a large 3.7-mm channel gastroscope (GIF 2T240) (Olympus). The grasped LAMS was inserted into the WON cavity from this large gastro- scope channel, and the snare was carefully opened to deploy the distal end of the LAMS (Video 1, available online at www.VideoGIE.org). Finally, we rectified the position of the LAMS using rat-tooth forceps.