Remove the migrated stent: sigmoid colon perforation from migrated biliary stent

Chittleborough, Timothy; Mgaieth, Sara; Kirkby, Brian; Zakon, Joseph

doi:10.1111/ans.12796

Cited by 18 publications

(8 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…This might be useful if the stent has migrated significantly (e.g. a migrated PS to the colon 101 ) or if a perforation has occurred as suggested by extraluminal gas. The sensitivity of plain X-ray is low, however, and the study may not detect retroperitoneal perforation.…”

Section: International Consensus For Dbsmentioning

confidence: 99%

International consensus statements for endoscopic management of distal biliary stricture

Nakai

Isayama

Wang

et al. 2020

J of Gastro and Hepatol

103

View full text Add to dashboard Cite

Distal biliary strictures (DBS) are common and may be caused by both malignant and benign pathologies. While endoscopic procedures play a major role in their management, a comprehensive review of the subject is still lacking. Our consensus statements were formulated by a group of expert Asian pancreatico‐biliary interventional endoscopists, following a proposal from the Digestive Endoscopy Society of Taiwan, the Thai Association for Gastrointestinal Endoscopy, and the Tokyo Conference of Asian Pancreato‐biliary Interventional Endoscopy. Based on a literature review utilizing Medline, Cochrane library, and Embase databases, a total of 19 consensus statements on DBS were made on diagnosis, endoscopic drainage, benign biliary stricture, malignant biliary stricture, and management of recurrent biliary obstruction and other complications. Our consensus statements provide comprehensive guidance for the endoscopic management of DBS.

show abstract

Section: International Consensus For Dbsmentioning

confidence: 99%

International consensus statements for endoscopic management of distal biliary stricture

Nakai

Isayama

Wang

et al. 2020

J of Gastro and Hepatol

103

View full text Add to dashboard Cite

show abstract

“…The stent perforations were small in area and the stent lumens were narrow, which prevented feces from flowing out of the intestine; therefore, the treatment was relatively minimally invasive for colonic perforations. The sigmoid colon is often reported as a site of colorectal perforation [ 18 , 19 ]. In our case, the sigmoid colon was stenotic due to repeated sigmoid diverticulitis, and the migrated bile duct stent was thought to have lodged in the sigmoid colon, resulting in a perforation.…”

Section: Discussionmentioning

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

View full text Add to dashboard Cite

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.

show abstract

“…In cases of long-term treatment, stent migration can cause complications which can lead to life-threatening situations and sometimes diagnosis can be difficult due to absence of typical symptoms. To date, a small number of works are available concerning sigmoid perforation from a biliary stent [15], [20], [21], [22], [23], [24], [25], [26], [27], [28]. In most cases, the patient had concurrent diverticulosis or abdominal adhesions, which increase the risk for colonic perforation [7], [25].…”

Section: Discussionmentioning

confidence: 99%

A rare cause for Hartmann’s procedure due to biliary stent migration: A case report

Siaperas

Ioannidis

Skarpas

et al. 2017

International Journal of Surgery Case Reports

View full text Add to dashboard Cite

show abstract

Remove the migrated stent: sigmoid colon perforation from migrated biliary stent

Cited by 18 publications

References 10 publications

International consensus statements for endoscopic management of distal biliary stricture

International consensus statements for endoscopic management of distal biliary stricture

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

A rare cause for Hartmann’s procedure due to biliary stent migration: A case report

Contact Info

Product

Resources

About