Endoscopic removal of an embedded biliary Wallstent by piecemeal extraction

Expandable metal biliary stents are reserved for patients with unresectable malignant biliary obstruction. Occasionally, these stents may cause compli cations necessitating removal, We describe successful endoscopic removal of a biliary Wallstent one year after insertion in a patient who initially un derwent placement of an mapandable metal biliary stent for presumed biliary malignancy. The stent was removed after a stent related bleeding duodenal ulcer formed.