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Post-pancreatectomy clip migration: a two-stage management approach with pancreatography and pancreatoscopy
File(s)
a-2819-1367.pdf (2.71 MB)
Published version
Author(s)
Tanaka, Yuya
Matsushita, Reika
Endo, Yoki
Suenaga, Katsushi
Takagi, Shimpei
Type
Journal Article
Abstract
Clip migration is a rare complication occurring mostly after cholecystectomy. Upfront retrieval with endoscopic retrograde cholangiopancreatography (ERCP) is the standard treatment for post-cholecystectomy clip migration (PCCM [1]). However, performing invasive procedures during pancreatitis is associated with increased mortality. We report a safely managed post-pancreatectomy clip migration (PPCM) into the main pancreatic duct (MPD).

A 77-year-old man was recalled to the hospital 3 months after undergoing uncomplicated laparoscopic distal pancreatectomy for non-invasive intraductal papillary mucinous carcinoma of the pancreatic body because surveillance computed tomography revealed a clip lodged in the MPD causing obstructive pancreatitis ([Fig. 1]). Although he was asymptomatic with non-contributory physical examination, serum amylase (125 IU/L) and C-reactive protein (17.8 mg/dL) levels were elevated.
Date Issued
2026-03-01
Date Acceptance
2026-03-01
Citation
Endoscopy, 2026, 58 (S 01), pp.E388-E389
URI
URL
DOI
ISSN
0013-726X
Publisher
Georg Thieme Verlag KG
Start Page
E388
End Page
E389
Journal / Book Title
Endoscopy
Volume
58
Issue
S 01
Copyright Statement
© 2026. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permit ting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/
License URL
Publication Status
Published
Date Publish Online
2026-03-11