Pancreatitis and duodenal perforation as complications of an endoscopically placed biliary stent

Humar, Abhi; Barron, Philip; Sekar, Arni; Lum, Andrea

doi:10.1016/s0016-5107(94)70075-3

Cited by 27 publications

(16 citation statements)

References 3 publications

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“…Intestinal perforations are usually caused by the sharp end of a metallic stent or stent migration 1-3. Choledochoduodenal fistula caused by tumor invasion or spontaneous perforation of the bile duct have rarely been reported 4-6…”

Section: Discussionmentioning

confidence: 99%

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Spontaneous Choledochoduodenal Fistula after Metallic Biliary Stent Placement in a Patient with Ampulla of Vater Carcinoma

Lee¹,

Park²,

Kim³

et al. 2009

Gut Liver

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Biliary stent-related enteric perforations are very rare complications that are caused by the sharp end of a metallic stent, stent migration, or tumor invasion. Moreover, the choledochoduodenal fistula resulting from metallic biliary stent-induced perforation is extremely rare. Here, we report a case in which a spontaneous choledochoduodenal fistula occurred after biliary metallic stent placement in a patient with an Ampulla of Vater carcinoma but was successfully managed by supportive treatments, including nasobiliary drainage. This case might have occurred as the result of a rupture of the bile duct following pressure necrosis and inflammation caused by impacted calculi and food materials over the tumor ingrowth in the uncovered biliary stent.

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Section: Discussionmentioning

confidence: 99%

“…As biliary stents are used frequently and for long periods of time, stent-related complications are increasing 1,2. Among biliary stent-related intestinal complications, the choledochoduodenal fistula resulting from metallic biliary stent-induced perforation is a very rare complication.…”

Section: Introductionmentioning

confidence: 99%

Spontaneous Choledochoduodenal Fistula after Metallic Biliary Stent Placement in a Patient with Ampulla of Vater Carcinoma

Lee¹,

Park²,

Kim³

et al. 2009

Gut Liver

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“…The flexibility of the stent might play a role in influencing stent migration 10-12,31-36. None of the stents in current use have been implicated in particular.…”

Section: Endoscopic Managementmentioning

confidence: 99%

“…For duodenal perforation secondary to placement of a biliary endoprosthesis, the treatment of choice is endoscopic removal of the endoprosthesis in the case of a localized process, and then the perforation can be su tured by a simple closure with hemoclips or hemoclips with glue injection 18. However, surgery should be reserved for patie nts with peritonitis or extensive retroperitoneal phlegmon 35,36…”

Section: Endoscopic Managementmentioning

confidence: 99%

Endoscopic Treatments of Endoscopic Retrograde Cholangiopancreatography-Related Duodenal Perforations

2013

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Iatrogenic duodenal perforation associated with endoscopic retrograde cholangiopancreatography (ERCP) is a very uncommon complication that is often lethal. Perforations during ERCP are caused by endoscopic sphincterotomy, placement of biliary or duodenal stents, guidewire-related causes, and endoscopy itself. In particular, perforation of the medial or lateral duodenal wall usually requires prompt diagnosis and surgical management. Perforation can follow various clinical courses, and management depends on the cause of the perforation. Cases resulting from sphincterotomy or guidewire-induced perforation can be managed by conservative treatment and biliary diversion. The current standard treatment for perforation of the duodenal free wall is early surgical repair. However, several reports of primary endoscopic closure techniques using endoclip, endoloop, or newly developed endoscopic devices have recently been described, even for use in direct perforation of the duodenal wall.

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“…As the stents are used frequently and for long periods of time, biliary stent-related duodenal perforation is not an uncommon complication, which is potentially life threatening [5][6][7][8][9] . Biliary metallic stent-induced retroperitoneal perforation resulting in aortoduodenal fistula has not been reported as yet.…”

Section: Introductionmentioning

confidence: 99%

Aortoduodenal fistula and aortic aneurysm secondary to biliary stent-induced retroperitoneal perforation

Lee¹,

Park²,

Park³

et al. 2008

WJG

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Duodenal perforations caused by biliary prostheses are not uncommon, and they are potentially life threatening and require immediate treatment. We describe an unusual case of aortic aneurysm and rupture which occurred after retroperitoneal aortoduodenal fistula formation as a rare complication caused by biliary metallic stent-related duodenal perforation. To our knowledge, this is the first report describing a lethal complication of a bleeding, aortoduodenal fistula and caused by biliary metallic stent-induced perforation.

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Pancreatitis and duodenal perforation as complications of an endoscopically placed biliary stent

Cited by 27 publications

References 3 publications

Spontaneous Choledochoduodenal Fistula after Metallic Biliary Stent Placement in a Patient with Ampulla of Vater Carcinoma

Spontaneous Choledochoduodenal Fistula after Metallic Biliary Stent Placement in a Patient with Ampulla of Vater Carcinoma

Endoscopic Treatments of Endoscopic Retrograde Cholangiopancreatography-Related Duodenal Perforations

Aortoduodenal fistula and aortic aneurysm secondary to biliary stent-induced retroperitoneal perforation

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