LAUSR

GIE Volume 3, No. 9 : 2018 scopic retrieval of a migrated, double-flanged, pancreatic stent (5F 7 cm) under direct pancreatoscopy by use of a “snare over in-stent wire guide” method (Video 1, available online at www.VideoGIE.org). Five years previously, a 46-year-old man with recurrent pancreatitis had undergone ERCP. The main pancreatic duct (PD) was dilated throughout. After a pancreatic sphincterotomy, a 5F 7-cm double-flanged straight pancreatic stent was inserted for post-ERCP pancreatitis prophylaxis. One month later, the patient underwent an upper endoscopy for stent removal. The endoscopist did not visualize the stent endoscopically and thought it had dislodged. However, the stent had migrated into the pancreas. The patient did well for 5 years without a further attack of pancreatitis. Unfortunately, the migrated stent was seen inside the pancreas on CT scan (Fig. 1) after the patient