Case Report
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World J Gastrointest Endosc. Nov 16, 2010; 2(11): 375-378
Published online Nov 16, 2010. doi: 10.4253/wjge.v2.i11.375
Placement of a fully covered self-expandable metal stent in a young patient with chronic pancreatitis
Kyong Joo Lee, Kwang Joon Kim, Dong Ho Shin, Joo Won Chung, Jeong Youp Park, Seungmin Bang, Seung Woo Park, Si Young Song
Kyong Joo Lee, Kwang Joon Kim, Dong Ho Shin, Joo Won Chung, Jeong Youp Park, Seungmin Bang, Seung Woo Park, Division of Gastroenterology, Department of Internal Medicine, Yonsei Institute of Gastroenterology, Yonsei University College of Medicine, Seoul 120-752, South Korea
Si Young Song, 1Brain Korea 21 Project for Medical Science, 2Division of Gastroenterology, Department of Internal Medicine, 3Severance Biomedical Science Institute, Yonsei University College of Medicine, Seoul, Korea
Author contributions: Lee KJ and Kim KJ drafted the paper; Shin DH and Chung JW collected the data; Park JY, Bang S, Park SW reviewed the paper; and Song SY performed endoscopic examination and proof reading.
Correspondence to: Si-Young Song, MD, PhD, Department of Internal Medicine, Yonsei University College of Medicine, 250 Seongsanno, Seodaemun-gu, Seoul 120-752, South Korea. sysong@yuhs.ac
Telephone: +82-2-22281957 Fax: +82-2-22277900
Received: July 6, 2010
Revised: September 10, 2010
Accepted: September 17, 2010
Published online: November 16, 2010
Abstract

Plastic stent insertion is a treatment option for pancreatic duct stricture with chronic pancreatitis. However, recurrent stricture is a limitation after removing the plastic stent. Self-expandable metal stents have long diameters and patency. A metal stent has become an established management option for pancreatic duct stricture caused by malignancy but its use in benign stricture is still controversial. We introduce a young patient who had chronic pancreatitis and underwent several plastic stent insertions due to recurrent pancreatic duct stricture. His symptoms improved after using a fully covered self-expandable metal covered stent and there was no recurrence found at follow-up at the outpatient department.

Keywords: Chronic Pancreatitis; Pancreatic duct stricture; Fully covered self-expandable metal covered stent; Young patient