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Related Concept Videos

Endoscopic Procedures V: ERCP01:26

Endoscopic Procedures V: ERCP

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Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
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Laparoscopic Common Bile Duct Exploration Followed by Primary Suture Using a Modified Bile Duct Incision
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Retained biliary plastic stents - lest we forget.

Rajeeb Jaleel1, Ebby G Simon2, Piyush Gupta3

  • 1Assistant Professor, Department of Gastroenterology, Christian Medical College, Vellore, Tamil Nadu, India.

Tropical Doctor
|August 9, 2020
PubMed
Summary
This summary is machine-generated.

Retained biliary plastic stents after endoscopic retrograde cholangio-pancreatography (ERCP) affect over a third of patients, often asymptomatically. However, serious complications like cholangitis can occur, necessitating better clinical awareness and management strategies.

Keywords:
ERCPEndoscopybiliary stentingcomplications

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Area of Science:

  • Gastroenterology
  • Hepatology
  • Endoscopy

Background:

  • Prolonged indwelling of biliary plastic stents can lead to significant complications.
  • Retention of these stents is an underestimated issue in clinical practice.

Purpose of the Study:

  • To analyze the incidence and outcomes of retained biliary plastic stents following endoscopic retrograde cholangio-pancreatography (ERCP).

Main Methods:

  • Retrospective analysis of patients undergoing ERCP in 2017.
  • Identification of patients with biliary plastic stents retained for over 3 months post-ERCP.
  • Assessment of patient demographics, stent duration, and clinical outcomes.

Main Results:

  • Out of 127 patients with placed stents, 45 (35.4%) had retained stents.
  • The median age of patients with retained stents was 52 years, with 60% being male.
  • While most patients were asymptomatic, complications included cholangitis (20%), choledocholithiasis (4.4%), cholangitic abscess (4.4%), and septicaemia (2.2%).
  • All complications were managed medically and endoscopically.

Conclusions:

  • Biliary plastic stent retention is a common and often overlooked complication of ERCP.
  • Increased clinical awareness and preventative measures are crucial to mitigate associated risks and improve patient outcomes.