Retroperitoneal Perforation of the Duodenum from Biliary Stent Erosion

Miller, George; Yim, Duke; Macari, Michael; Harris, Marsha; Shamamian, Peter

doi:10.1016/j.cursur.2005.03.011

Cited by 38 publications

(32 citation statements)

References 9 publications

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“…Two previous studies have reported the complication frequency to be 43% and 19%, respectively [21,24]. Rare complications of biliary stents migration have also been reported, such as intestinal obstruction and perforations, acute appendicitis, fistula between gastrointestinal tract and other organs, biliary pneumonitis, and hepatic perforation [39][40][41][42][43][44][45][46][47][48][49][50][51][52][53][54]. None of the patients with migration had such a complication in the present study.…”

Section: Discussionsupporting

confidence: 38%

Migration of biliary plastic stents: experience of a tertiary center

et al. 2008

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Section: Discussionsupporting

confidence: 38%

Migration of biliary plastic stents: experience of a tertiary center

et al. 2008

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“…Notably, patients can present with nonspecific symptoms; therefore, a high index of suspicion for perforation should be maintained when evaluating these patients, irrespective of the duration of the stent placement [3,4]. Our two cases demonstrate that duodenal perforation can occur in both benign and malignant settings, regardless of the type of stent or its length of time in place.…”

Section: Cases and Techniques Library (Ctl) E281mentioning

confidence: 77%

Duodenal perforation as a consequence of biliary stent migration can occur regardless of stent type or duration

et al. 2014

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“…duodenum, [10][11][12][13] where endoscopic retrieval is usually possible and surgical intervention rarely necessary. 14,15 Complications involving other sections of the small bowel or colon are rare but they generally necessitate early surgical intervention to avoid serious or occasionally lifethreatening problems.…”

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confidence: 99%

A review of problems following insertion of biliary stents illustrated by an unusual complication

Bagul

Pollard

Dennison

2010

annals

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Introduction The management of obstructive jaundice resulting from both benign and malignant causes relies heavily on minimally invasive techniques and particularly with the insertion of biliary endoprostheses. Migration of these biliary stents is a well-documented problem and can result in a variety of complications including perforation, intra-abdominal sepsis, fistulae formation, obstruction and appendicitis. Methods A literature search was performed using PubMed examining case reports, published abstracts and reviews to date (2009). In addition, we report a left groin abscess as a previously unreported complication following migration of a biliary endoprosthesis. Findings Stent migration can lead to serious complications and produce significant morbidity and mortality. Symptomatic patients especially those with other co-morbid abdominal pathologies such as colonic diverticulae, parastomal hernia or abdominal hernias may be at an increased risk of perforation especially when straight plastic stents are used.

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Retroperitoneal Perforation of the Duodenum from Biliary Stent Erosion

Cited by 38 publications

References 9 publications

Migration of biliary plastic stents: experience of a tertiary center

Migration of biliary plastic stents: experience of a tertiary center

Duodenal perforation as a consequence of biliary stent migration can occur regardless of stent type or duration

A review of problems following insertion of biliary stents illustrated by an unusual complication

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