Jejunal Perforation for Biliary Stent Dislocation

Lanteri, Raffaele; Naso, P.; Rapisarda, Cristian; Santangelo, Marco; Cataldo, Antonio Di; Licata, Antonio

doi:10.1111/j.1572-0241.2006.00509.x

Cited by 13 publications

(4 citation statements)

References 4 publications

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“…However, none of the abovementioned classifications cover all types of ERCP-related perforations. For instance, intestinal wall perforations caused by bile duct stent migration, as mentioned in this paper, and perforation of the jejunum, ileum, cecum, colon, and sigmoid colon due to bile duct stent migration, as mentioned in other studies [6][7][8][9][10], cannot be included in the above classifications.…”

Section: Discussionmentioning

confidence: 96%

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Duodenal perforations secondary to a migrated biliary plastic stent successfully treated by endoscope: case-report and review of the literature

Wang

2020

BMC Gastroenterol

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Background: Endoscopic retrograde biliary drainage (ERBD) is the most frequently performed procedure for treating benign or malignant biliary obstruction. Although duodenal perforations secondary to the biliary plastic stent are quite rare, they can be life-threatening. The treatment strategies for such perforations are diverse and continue to be debated. Case presentation: We report three cases of duodenal perforation due to the migration of biliary plastic stents that were successfully managed using an endoscope. The three patients were admitted on complaints of abdominal pain after they underwent ERBD. Abdominal computerized tomography (CT) revealed migration of the biliary plastic stents and perforation of the duodenum. Endoscopy was immediately performed, and perforation was confirmed. All migrated stents were successfully extracted endoscopically by using snares. In two of the three cases, the duodenal defects were successfully closed with haemostatic clips after stent retrieval, and subsequently, endoscopic nasobiliary drainage tubes were inserted. After the endoscopy and medical treatment, all three patients recovered completely. Conclusions: Duodenal perforations due to the migration of biliary stents are rare, and the treatment strategies remain controversial. Our cases and cases in the literature demonstrate that abdominal CT is the preferred method of examination for such perforations, and endoscopic management is appropriate as a first-line treatment approach.

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Section: Discussionmentioning

confidence: 96%

“…However, gastrointestinal penetration or transmural perforation due to stent migration is rare, with an incidence of less than 1% [5]. Perforation due to biliary stent displacement can occur in the duodenum, jejunum, ileum, cecum, colon, and sigmoid colon [6][7][8][9][10].…”

Section: Introductionmentioning

confidence: 99%

Duodenal perforations secondary to a migrated biliary plastic stent successfully treated by endoscope: case-report and review of the literature

Wang

2020

BMC Gastroenterol

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“…4 Si bien, en la mayoría de los casos de migración distal no existen complicaciones graves, se han descrito casos raros de perforación intestinal desde el duodeno hasta segmentos distales del colon. [5][6][7][8][9][10] Se describe un caso raro de perforación de sigmoide en diferentes niveles por dos stents biliares olvidados, el cual requirió manejo quirúrgico por laparoscopia.…”

Section: Introductionunclassified

Prótesis biliares migradas como causa de perforación doble del colon sigmoide

Senejoa,

Blanco

2023

Rev Mex Coloproctoli

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Paciente femenina de 71 años con historia de dolor pélvico de 3 meses de evolución que empeora en la última semana, tiene antecedente de colocación de dos prótesis biliares por coledocolitiasis hace 3 años, a su ingreso a emergencias la tomografía muestra imágenes de las prótesis biliares en pelvis, colonoscopia mostró la penetración de una prótesis biliar a través de un divertículo en sigmoide, se procede con resección de sigmoide laparoscópica sin complicaciones y alta en 1 semana.

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“…However, gastrointestinal penetration or transmural perforation due to stent migration is rare, with an incidence of < 1% [4]. Perforation due to displacement of the biliary stent can occur mainly in the duodenum and in other parts of the small intestine and the colon [5][6][7][8][9]. In recent years, endoscopic closure of gastrointestinal perforations using an over-the-scope clip (OTSC) has been shown to be effective with a high success rate [6,[10][11][12][13][14].…”

Section: Introductionmentioning

confidence: 99%

Successful endoscopic closure with an over-the-scope clip for sigmoid colon perforation due to bile duct stent migration

Yamaguchi

Nagatsuma

Jinnouchi

et al. 2021

Clin J Gastroenterol

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An 86-year-old woman presented with a history of endoscopic papillary sphincterotomy for bile duct stones and diverticulitis. The patient was admitted as an emergency case of acute cholangitis due to choledocholithiasis, underwent endoscopic bile duct stenting, and was discharged with a plan for endoscopic lithotripsy. One month later, the patient was readmitted owing to abdominal pain. Abdominal computed tomography at admission showed that the bile duct stent had migrated to the sigmoid colon and the presence of a small amount of extraintestinal gas, suggesting a colonic perforation. Lower gastrointestinal endoscopy showed adhesions and intestinal stenosis in the sigmoid colon, probably after diverticulitis, and the bile duct stent that had perforated the same site. The stent was removed and endoscopic closure of the perforation was performed using an over-the-scope clip. Abdominal computed tomography 8 days after the closure showed no extraintestinal gas. The patient resumed eating and was discharged on the 14th day of admission. There was no recurrence of abdominal pain. Endoscopic closure of sigmoid colon perforation due to bile duct stent migration using an over-the-scope clip has not been reported thus far, and it may be a new treatment option in the future.

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Jejunal Perforation for Biliary Stent Dislocation

Cited by 13 publications

References 4 publications

Duodenal perforations secondary to a migrated biliary plastic stent successfully treated by endoscope: case-report and review of the literature

Duodenal perforations secondary to a migrated biliary plastic stent successfully treated by endoscope: case-report and review of the literature

Prótesis biliares migradas como causa de perforación doble del colon sigmoide

Successful endoscopic closure with an over-the-scope clip for sigmoid colon perforation due to bile duct stent migration

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