Pancreatitis and cholangitis following intraductal migration of a metal clip 5 years after laparoscopic cholecystectomy

Antunes, Artur; Peixe, Bruno; Guerreiro, Horácio

doi:10.1016/j.gastrohep.2016.08.007

Cited by 4 publications

(4 citation statements)

References 3 publications

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“…This could explain why both the CT and MRCP reads were rather vague about the foreign body located by the ampulla. Although there are some case reports of surgical clip migration years after cholecystectomy [14, 15], this is the first case of such finding reported from USA with such a complication from cholecystectomy performed over a decade ago.…”

Section: Discussionmentioning

confidence: 93%

CholedochoClip: A Case of Obstructive Jaundice 14 Years after Cholecystectomy

Kim

Morris

Darwin

2019

Case Reports in Gastrointestinal Medicine

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Gallstone disease is a common gastrointestinal pathology that may result in surgical intervention. While cholecystectomy has relatively minimal risks, surgical clip migration is a rare complication that can cause severe morbidity and mortality. This report describes a rare phenomenon of a biliary stone forming onto a migrated surgical clip 14 years after cholecystectomy causing an obstructive jaundice. This case illustrates the importance of keeping a migrated surgical clip on the differential when encountering patients with symptoms of cholangitis after cholecystectomy.

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Section: Discussionmentioning

confidence: 93%

CholedochoClip: A Case of Obstructive Jaundice 14 Years after Cholecystectomy

Kim

Morris

Darwin

2019

Case Reports in Gastrointestinal Medicine

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“…We excluded the cases that could not provide adequate details or they were from the same institution. Finally, 53[56789101112131415161718192021222324252627282930313233343536373839404142434445464748495051525354555657] publications reporting 64 cases were reviewed.…”

Section: Methodsmentioning

confidence: 99%

Clip-stone and T clip-sinus: A clinical analysis of six cases on migration of clips and literature review from 1997 to 2017

et al. 2019

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PCCM is a rare but severe complication of LCBDE. A pre-operative understanding of bile duct anatomy, the use of the minimum number of clips and the harmonic scalpel during the surgeries is necessary. Considering clip-stone or clip-sinus in the differential diagnosis of patients with biliary colics or cholangitis after LCBDE even years after surgery, the detailed medical history and pre-operative examination are inevitable, especially for these patients who had undergone LCBDE.

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“…However, their use may cause artefacts during magnetic resonance imaging (MRI) and in computed tomography (CT) scans because of the high X-ray absorption coefficient of Ti [ 1 , 2 , 3 ]. Case reports have also shown that clip migration (CM) can occur in some patients after surgery [ 4 , 5 , 6 ]. In addition to patient suffering and the requirement of additional surgery, CM is likely to cause other complications [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

“…Case reports have also shown that clip migration (CM) can occur in some patients after surgery [ 4 , 5 , 6 ]. In addition to patient suffering and the requirement of additional surgery, CM is likely to cause other complications [ 6 ]. To overcome these problems, bio-absorbable polymer clips have recently been developed.…”

Section: Introductionmentioning

confidence: 99%

Mg-Zn-Ca Alloys for Hemostasis Clips for Vessel Ligation: In Vitro and In Vivo Studies of Their Degradation and Response

et al. 2020

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To control the degradation rate of magnesium (Mg) alloys, chitosan (CHI) and L-glutamic acid (LGA) were used as coatings on Mg-Zn-Ca alloys via dip coating. In this study, either two or seven CHI/LGA layers were applied as a coating on Mg-2.8Zn-0.8Ca alloy (ZX31) and Mg-2.8Zn-0.8Ca hemostasis clips (ZX31 clips). The morphologies, compositions, and surface roughness of the specimens were characterized via scanning electron microscopy, Fourier transform infrared spectroscopy, and surface measurement devices. The degradation rates and behavior of the specimens were evaluated by immersing them in simulated body fluids and by applying these ZX31 clips on rabbits’ uterine tubes for five weeks. The specimen with seven layers (ZX31(CHI/LGA)7) exhibited improved corrosion behavior when compared with ZX31 or ZX31(CHI/LGA)2, with a reduced degradation rate of the Mg alloy in a simulated body environment. In vivo experiments showed that ZX31 clips exhibited good biocompatibilities in each group but could not maintain the clamping function for five weeks. The weight loss of ZX31(CHI/LGA)7 was significantly lower than that of the other groups. Consequently, it was verified that CHI can be used as a protective layer on a magnesium alloy surface via in vitro and in vivo experiments.

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Pancreatitis and cholangitis following intraductal migration of a metal clip 5 years after laparoscopic cholecystectomy

Cited by 4 publications

References 3 publications

CholedochoClip: A Case of Obstructive Jaundice 14 Years after Cholecystectomy

CholedochoClip: A Case of Obstructive Jaundice 14 Years after Cholecystectomy

Clip-stone and T clip-sinus: A clinical analysis of six cases on migration of clips and literature review from 1997 to 2017

Mg-Zn-Ca Alloys for Hemostasis Clips for Vessel Ligation: In Vitro and In Vivo Studies of Their Degradation and Response

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