Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Long-term stenting for choledocholithiasis.

M S Butensky1

  • 1Saint Francis Hospital and Medical Center, Hartford, USA.

Connecticut Medicine
|August 18, 2000
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Endoscopic dilation of gastroesophageal anastomosis stricture after gastric bypass.

Surgical endoscopy·2002
Same author

Intracorporeal electrohydraulic lithotripsy in gallstone ileus.

Connecticut medicine·2001
Same author

Severe diarrhea with Ticlid therapy.

Connecticut medicine·1994
Same author

Pulmonary function changes after large volume paracentesis.

The American journal of gastroenterology·1993
Same author

Gastrocolic fistula complicating a benign gastric ulcer.

New York state journal of medicine·1992
Same journal

Incidence of Hepatitis C Virus and Other Bloodborne Virus Infections Among Nonurban Residents of Fairfield and New Haven Counties, Connecticut Who Inject Drugs.

Connecticut medicine·2021
Same journal

Remarks from the Annual Meeting.

Connecticut medicine·2018
Same journal

Address of the Outgoing President: Evolution.

Connecticut medicine·2018
Same journal

Address of the New President: One Society.

Connecticut medicine·2018
Same journal

Post Integration Trauma Syndrome (PITS).

Connecticut medicine·2018
Same journal

New Federal Drug Administration Fluoroquinolone Warning and a Practical Approach to Managing Patients.

Connecticut medicine·2018
See all related articles

For difficult bile duct stones, long-term endoscopic plastic stents can provide biliary decompression. This case shows a patient successfully managed with a stent for 19 months.

Area of Science:

  • Gastroenterology
  • Endoscopic retrograde cholangiopancreatography (ERCP)

Background:

  • Choledocholithiasis (bile duct stones) is typically managed with endoscopic sphincterotomy and stone removal.
  • Surgical intervention is reserved for cases where endoscopic removal fails or is not feasible.
  • High-risk surgical candidates require alternative management strategies for bile duct obstruction.

Observation:

  • This case report details a patient with choledocholithiasis who presented challenges for conventional endoscopic stone removal.
  • The patient was deemed a high-risk surgical candidate, necessitating an alternative approach.
  • Endoscopic placement of a long-term plastic biliary stent was performed for biliary decompression.

Findings:

  • The plastic biliary stent, intended for short-term use, remained patent and functional for 19 months.

Related Experiment Videos

  • Despite potential occlusion by three months, the stent facilitated bile drainage into the duodenum, acting as a wick.
  • The patient's choledocholithiasis was managed effectively with the stent until their unrelated demise.

    • Implications:

    • Long-term endoscopic biliary stenting can be a viable, albeit unconventional, treatment for selected high-risk patients with choledocholithiasis.
    • This approach offers a less invasive alternative to surgery when stones are difficult to clear endoscopically.
    • Further research may explore the long-term efficacy and safety of plastic biliary stents in complex choledocholithiasis cases.