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Endoscopic or Conservative Management of Iatrogenic Duodenal Perforations Caused by Long Plastic Biliary Stent Distal Migration
- Source :
- ACG Case Reports Journal
- Publication Year :
- 2020
- Publisher :
- Ovid Technologies (Wolters Kluwer Health), 2020.
-
Abstract
- Plastic biliary stents are associated with rare but potentially life-threatening distal stent migration. We present 4 patient cases with distal migration, whereas the proximal aspect remained in the bile duct. Time to stent migration ranged from 1 week to 2 months. Stent migration caused contralateral duodenal wall perforation; 2 underwent endoscopic over-the-scope clip placement for defect closure. All required previous stent removal and stent exchange. This case series highlights that proximal stricture and longer stents have higher migration risk, also shown in the literature. We also show that duodenal perforation can successfully be managed endoscopically with an over-the-scope clip.
- Subjects :
- medicine.medical_specialty
Conservative management
business.industry
Bile duct
medicine.medical_treatment
Biliary
Perforation (oil well)
Stent
Case Report
Duodenal wall
General Medicine
equipment and supplies
Surgery
03 medical and health sciences
Defect closure
surgical procedures, operative
0302 clinical medicine
medicine.anatomical_structure
030220 oncology & carcinogenesis
medicine
Biliary stent
030211 gastroenterology & hepatology
cardiovascular diseases
business
Duodenal Perforation
Subjects
Details
- ISSN :
- 23263253
- Volume :
- 7
- Database :
- OpenAIRE
- Journal :
- ACG Case Reports Journal
- Accession number :
- edsair.doi.dedup.....7a46bd7d7f4a5e43aa2b6bf0fc85b3c0