Colonic Perforation by a Percutaneously Displaced Biliary Stent: Report of a Case and a Review of Current Practice

Brinkley, Michael F.; Wible, Brandt C.; Hong, Kelvin; Georgiades, Christos

doi:10.1016/j.jvir.2009.02.005

Cited by 12 publications

(7 citation statements)

References 26 publications

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“…Reobstructive jundice, Reobstructive cholangitis, irritativ symptoms and weith loss from the fi ld of late postprocedural complication gave us the same conclusion. Although usually spontaneous, stent migration may sometime be caused by surgical, endoscopic, or percutaneous maneuvers [22]. Migration seems to occur more frequently with covered stents, probably because of their weaker anchorage, than with uncovered stents [14].…”

Section: Discussionmentioning

confidence: 99%

Biocompatibility of a new generation of covered metallic biliary stents in a treatment of malignant causes irreversibile cholestasis

Vilendecic¹,

Marković²,

Vasiljković-Marković³

et al. 2018

Hosp Pharm Int Multi J

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Introduction: Overview of periprocedural and postprocedural (early and late) complication giving us access to determine the biological eff ects of treatment with covered versus uncovered metal stents in patients with irreversible jaundice malignant etiology. The Aim: The aim of study was to compare the clinical therapeutical eff ects of covered billiary stents versus uncovered billiary stents. Subjects and methods: We treated two groups of patients with irreversible cholestasis malignant etiology. In the fi rst group of patients were used metal covering stents (MCS), while in the other group used metal uncovered stents (MNS). Results: We observed periprocedural complications, technical complications, and the early-to 30-day and late-to 6 months post-procedural complications such as parameters of biocompatibility of inserted endoprosthesis, i.e. biological eff ects on surrounding tissues. We found statistically high diff erence in the occurrence of bleeding and periprocedural complications in total of MNS group. In the category of early postprocedural complications, we found a statistically signifi cant diff erence in the MNS groups for a hemobilia, post-stent cholangitis, stent occlusion, irritative symptoms and appetite loss, and also in the overall appearance of early postprocedural complications in MNS. In the category of late postprocedural complications statistically signifi cant diff erence we found in the MNS reobstructive cholangitis, reobstruktive jaundice, irritative symptoms, loss of appetite and in full. The cause of stent dysfunction-obliteration, biliary encrustation, ingrowth, overgrowth and mucosal hyperplasia, tells us in favor of the biological eff ects of the insertion, point applied prosthesis and the fi nal therapeutic eff ect achieved by them. Conclusions: According to our results, taking into account the parameters of biocompatibility under applicable defi nitions, authors can conclude that covered stents in contrast to the uncovered are meeting the criteria of almost ideal biological prostheses.

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Section: Discussionmentioning

confidence: 99%

Biocompatibility of a new generation of covered metallic biliary stents in a treatment of malignant causes irreversibile cholestasis

Vilendecic¹,

Marković²,

Vasiljković-Marković³

et al. 2018

Hosp Pharm Int Multi J

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“…La migración de las endoprótesis biliares ocurre entre el 5-10% de los pacientes 4,[8][9][10][11][12][13] , aunque existen discrepancias, ya que Belyaev 14 , refiere una frecuencia menor del 5% y Bagul 2 , mayor del 10% porque considera que la mayoría de las endoprótesis que migran al intestino, pasan a través de él sin incidencias. Las migraciones pueden ser proximales, desplazándose la endoprótesis en la propia vía biliar o en el conducto pancreático; o distales, alcanzando el intestino delgado y el colon.…”

Section: Discussionunclassified

Perforación diverticular sigmoidea secundaria a la migración de endoprótesis biliar plástica

et al. 2013

Rev Chil Cir

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Sigmoid diverticulum perforation due to plastic biliary stent migrationBackground: Biliary stents are devices that are used to widen narrowed bile ducts, especially in malignant obstructions, although at present its use in benign biliopancreatic diseases is progressively increasing. Endoscopic placement of biliary stents is a well established procedure that is performed daily. Despite its frequency, has a complication rate of 5-10%, the most common are cholangitis and stent obstruction and there are others more rare and serious like pancreatitis, gastrointestinal bleeding, intestinal perforation and biliary stent migration. Case report: We report a 70-years-old male with a history of plastic biliary stent placement after open cholecystectomy because of choledocholithiasis, who arrived at the Emergency Department with symptoms of intestinal obstruction. After performing imaging studies, there was significant intestinal dilation and a biliary stent in the sigmoid colon. He underwent urgent surgical intervention, having the plastic biliary stent located in a sigmoid diverticulum. We performed removal of the stent and simple suture of the sigmoid diverticular perforation. Conclusion: Sigmoid diverticular perforation secondary to migration of a plastic biliary stent is a rare complication that can occur after placement of a stent in the bile duct. It must be suspected in all acute abdomens accompanied of radiological images demonstrating biliary stent migration because these patients often show atypical symptoms. ResumenIntroducción: Las endoprótesis biliares son dispositivos que se emplean para ampliar las vías biliares estenosadas, especialmente en las obstrucciones malignas, aunque actualmente su uso está aumentando progresivamente en las enfermedades benignas biliopancreáticas. La colocación endoscópica de las endoprótesis biliares es un procedimiento bien establecido que se realiza diariamente, aunque presenta una tasa de complicaciones de 5-10%, siendo las más frecuentes la colangitis y la obstrucción de la propia endoprótesis, existiendo otras más raras y graves como la pancreatitis, la hemorragia digestiva, la perforación intestinal y la migración de la endoprótesis biliar. Caso clínico: Varón de 70 años de edad con antecedentes de colocación de

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“…Gastrointestinal perforations can occur for various reasons, including inflammations such as diverticulitis and appendicitis [7,8], gastrointestinal ulceration [9], infections such as tuberculosis and parasites [10,11], invasion by neoplasms [12], medical equipment such as indwelling catheters [13] and abdominal trauma [14]. Bowel perforation caused by a Tenckhoff catheter has been reported in a PD patient [15].…”

Section: Discussionmentioning

confidence: 99%

A case of perforative peritonitis caused by a piece of bamboo in a patient on peritoneal dialysis

et al. 2011

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We report a case of peritonitis resulting from colon perforation caused by ingestion of a rare foreign body in a patient on peritoneal dialysis (PD). A 72-year-old woman on PD was hospitalized with abdominal pain and cloudy PD fluid (PDF). Although conventional antibiotic therapy was started because of a diagnosis of infectious peritonitis, low-grade fever, abdominal pain and a high number of white blood cells in PDF persisted. On day 3, anaerobic bacteria were recognized on bacterial culture of PDF, suggesting a gastrointestinal etiology. During exploratory laparotomy, sigmoidal perforation by a piece of bamboo, probably resulting from ingestion of contaminated food, was found.

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Colonic Perforation by a Percutaneously Displaced Biliary Stent: Report of a Case and a Review of Current Practice

Cited by 12 publications

References 26 publications

Biocompatibility of a new generation of covered metallic biliary stents in a treatment of malignant causes irreversibile cholestasis

Biocompatibility of a new generation of covered metallic biliary stents in a treatment of malignant causes irreversibile cholestasis

Perforación diverticular sigmoidea secundaria a la migración de endoprótesis biliar plástica

A case of perforative peritonitis caused by a piece of bamboo in a patient on peritoneal dialysis

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