Use of a twin-channel endoscope for removal of a lumen-apposing metal stent that migrated spontaneously after cystogastrostomy.

Kobori and colleagues report a case of late-onset spontaneous internal migration of a lumen-apposing metal stent in a patient hospitalized with obstructive jaundice caused by a pancreatic fluid collection. Although difficult, it was possible to remove the migrated stent by grasping it with two forceps using a twin-channel endoscope.