저자들은 조기위암 수술 후 발생한 문합부 양성 협착 환자에서 금속스텐트 삽입술 후 스텐트의 원위부 이탈로 인해 급성 췌장염이 발생한 증례를 경험하였기에 보고한다.
Endoscopic metal stent insertion has been widely performed to palliatively treat gastrointestinal (GI) tract obstruction in patients with cancer. The use of metal stents for benign strictures of the GI tract is increasing due to the low risk of major complications other than stent migration. The incidence of acute pancreatitis after placing a GI tract metal stent is rare. Herein, we report a case of acute pancreatitis caused by a covered metal stent that was initially inserted for a benign stricture of a gastroduodenal anastomosis that developed after the operation, then distally migrated, bent into a U-shape, and impacted into the second portion of the duodenum in a 56-year-old female who underwent a Billroth- I gastrectomy due to gastric cancer. (Korean J Med 2013;85:297-301)