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Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction
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Dislodged biliary stent causes lower gastrointestinal hemorrhage four years postendoscopic retrograde

Ioannis S Papanikolaou1, Georgios Tziatzios1, Paraskevas Gkolfakis1

  • 1Hepatogastroenterology Unit Second Department of Internal Medicine-Propaedeutic Research Institute and Diabetes Center Athens Greece.

Clinical Case Reports
|July 11, 2018
PubMed

Insights

Biliary stent placement effectively decompresses the bile system. While stent migration is common, most cases resolve without issue, though rare complications can occur.

Area of Science:

  • Gastroenterology
  • Interventional Endoscopy
  • Biliary Interventions

Background:

  • Endoscopic biliary stent placement is a primary treatment for biliary decompression.
  • Stent migration is a recognized complication.
  • Most migrated stents pass harmlessly, but serious risks exist.

Purpose of the Study:

  • To review the implications of biliary stent migration.
  • To highlight the potential for severe complications.

Main Methods:

  • Literature review of endoscopic biliary stent placement outcomes.
  • Analysis of complication rates associated with stent migration.

Main Results:

  • Dislocation and migration of biliary stents are frequent.
  • The majority of migrated stents are passed without adverse events.
  • A small percentage of migrated stents lead to severe, life-threatening complications.

Conclusions:

  • Endoscopic biliary stenting is effective for biliary decompression.
  • While generally safe, the potential for rare but serious complications from stent migration must be considered.

Keywords:
biliarybleedingcolonstent

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