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Gut perforation caused by biliary endoprosthesis.

R H Størkson1, B Edwin, O Reiertsen

  • 1Surgical Department, Central Hospital of Akershus, Nordbyhagen, Norway.

Endoscopy
|February 26, 2000
PubMed
Summary
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Biliary endoprostheses can cause rare but serious gut perforations. This report details two cases, highlighting the need for vigilance with these devices.

Area of Science:

  • Gastroenterology
  • Surgical Complications

Background:

  • Biliary endoprostheses are used to treat bile duct obstructions.
  • Complications associated with biliary endoprostheses are uncommon.

Observation:

  • Two cases of gastrointestinal perforation due to biliary endoprostheses occurred between 1993-1995.
  • Case 1: An 81-year-old male with terminal ileum perforation from a dislodged bile duct stent, resulting in mortality.
  • Case 2: An 86-year-old male with sigmoid colon perforation from a duodenal stent, successfully treated laparoscopically.

Findings:

  • The incidence of gut perforation from biliary endoprostheses, though rare, may be higher than previously recognized.
  • Stent migration and malposition are key factors in causing perforation.

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Implications:

  • Awareness of this complication is crucial for clinicians managing patients with biliary endoprostheses.
  • Further research into preventative measures and optimal management strategies for biliary endoprosthesis-related perforations is warranted.