{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T23:03:50Z","timestamp":1780355030975,"version":"3.54.1"},"reference-count":30,"publisher":"Georg Thieme Verlag KG","issue":"CP","license":[{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"crossref","award":["82170656"],"award-info":[{"award-number":["82170656"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Endosc Int Open"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>With widespread application of pancreatic stent in managing pancreatic diseases and preventing post-endoscopic retrograde cholangiopancreatography (ERCP) pancreatitis, incidence of stent-related complications such as proximal migration has substantially increased. This study aimed to provide strategic insights for retrieving proximally migrated pancreatic stents by analyzing a large endoscopy center experience and synthesizing novel techniques.<\/jats:p>\n                  <jats:p>A retrospective analysis was conducted over 10 years, including 43 cases of proximally migrated pancreatic stent among 32,537 ERCP procedures (2014\u20132024). Patient demographics, stent features, and procedure details were assessed. Literature on advanced retrieval techniques was reviewed.<\/jats:p>\n                  <jats:p>Most patients (67.4%) were asymptomatic; epigastric discomfort occurred in 32.6%. Endoscopic retrieval was successful in 81.4% of cases (35\/43), with 58.1% (25\/43) achieved using a single accessory. Median operation duration was 35 minutes (interquartile range 24\u201359). Pancreatic duct pre-dilation significantly shortened the procedure (31 \u00b1 9 vs. 47 \u00b1 13 minutes, P &lt; 0.001). Stent migration duration showed no correlation with procedure difficulty (r = 0.131, P = 0.201). Eight cases (18.6%) met criteria for difficult-to-retrieve stents (DTRSs), mainly due to ductal tortuosity, strictures, or migration into branch pancreatic ducts. All procedures were completed without perioperative complications.<\/jats:p>\n                  <jats:p>Endoscopic retrieval is safe and effective for proximal pancreatic stent migration. Success optimization requires careful preoperative evaluation, ductal preparation, and adoption of advanced techniques for difficult cases. The DTRS concept provides a valuable framework for clinical decision-making when standard retrieval fails.<\/jats:p>","DOI":"10.1055\/a-2870-7506","type":"journal-article","created":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T22:45:02Z","timestamp":1780353902000},"source":"Crossref","is-referenced-by-count":0,"special_numbering":"S","title":["Removal of proximally migrated pancreatic stents: Ten-year experience from a large endoscopy center and literature review"],"prefix":"10.1055","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-6374-2231","authenticated-orcid":false,"given":"Zhezhe","family":"Fan","sequence":"first","affiliation":[{"name":"Naval Medical University, Shanghai, China","place":["Shanghai"],"department":["College of Basic Medical Sciences"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fanyang","family":"Kong","sequence":"first","affiliation":[{"name":"Changhai Hospital, Shanghai, China","place":["Shanghai"],"department":["Department of Gastroenterology"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fan","family":"Yang","sequence":"additional","affiliation":[{"name":"Naval Medical University, Shanghai, China","place":["Shanghai"],"department":["College of Basic Medical Sciences"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hongyuan","family":"Zou","sequence":"additional","affiliation":[{"name":"Changhai Hospital, Shanghai, China","place":["Shanghai"],"department":["Department of Gastroenterology"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhengdong","family":"Li","sequence":"additional","affiliation":[{"name":"Changhai Hospital, Shanghai, China","place":["Shanghai"],"department":["Department of Gastroenterology"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yang-Yang","family":"Qian","sequence":"additional","affiliation":[{"name":"Changhai Hospital, Shanghai, China","place":["Shanghai"],"department":["Department of Gastroenterology"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Feng","family":"Li","sequence":"additional","affiliation":[{"name":"Christus Trinity Mother Frances Hospital and Clinic, United States","place":["Texas"],"department":["Department of Gastroenterology and Hepatology"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lei","family":"Wang","sequence":"additional","affiliation":[{"name":"Changhai Hospital, Shanghai, China","place":["Shanghai"],"department":["Department of Gastroenterology"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,6,1]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"175","DOI":"10.4103\/eus.eus_3_20","article-title":"EUS-guided pancreatic drainage: A steep learning curve","volume":"9","author":"A Tyberg","year":"2020","journal-title":"Endosc 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