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Related Concept Videos

Inflammatory Bowel Disease I: Ulcerative Colitis01:27

Inflammatory Bowel Disease I: Ulcerative Colitis

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Introduction
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
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Inflammatory Bowel Disease V: Surgical Management01:21

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Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
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Esophageal Varices-II: Clinical Features and Management01:28

Esophageal Varices-II: Clinical Features and Management

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Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
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Chronic Bowel Disorders: Introduction01:17

Chronic Bowel Disorders: Introduction

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Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
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Esophageal Varices-I: Introduction01:24

Esophageal Varices-I: Introduction

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Esophageal varices are dilated, tortuous veins which are found mainly in the submucosa of the lower esophagus but which may also appear higher up or extend into the stomach. They develop due to increased pressure in the portal venous system, often as a result of liver cirrhosis. This condition scars and damages the liver, impeding normal blood flow through the portal vein. To compensate, blood seeks alternative pathways, forming fragile new vessels (varices) in the esophagus and stomach. These...
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Endoscopic Procedures V: ERCP01:26

Endoscopic Procedures V: ERCP

136
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.
Patient...
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Related Experiment Video

Updated: Jun 14, 2025

Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction
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Bilio-Cecal Stent Migration Presenting as Massive Rectal Bleeding.

Lefika Bathobakae1, Shady Geris1, Mohita Jariwala2

  • 1Internal Medicine, St. Joseph's University Medical Center, Paterson, NJ, USA.

Journal of Medical Cases
|August 29, 2024
PubMed
Summary
This summary is machine-generated.

Endoscopic biliary stenting can lead to rare complications. This case highlights an extremely rare instance of stent migration to the cecum, presenting as rectal bleeding, a unique clinical presentation.

Keywords:
Biliary stent migrationCecal impactionEndoscopic stentingEpigastric painRectal bleeding

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Area of Science:

  • Gastroenterology
  • Endoscopic procedures
  • Biliary interventions

Background:

  • Endoscopic biliary stenting is a standard treatment for various biliary, hepatic, and pancreatic conditions.
  • Common indications include strictures, neoplasms, gallstones, infections, and bile leaks.
  • Stent occlusion and distal migration are known complications.

Observation:

  • Distal stent migration is typically spontaneous and often limited to the duodenum.
  • Complications like perforation, abscess, bleeding, and pancreatitis are rare.
  • This report details an exceptionally unusual case of bilio-cecal stent migration.

Findings:

  • The patient presented with rectal bleeding as the primary symptom.
  • This presentation is highly atypical for distal stent migration.

Implications:

  • This case underscores the potential for rare and unexpected complications following endoscopic biliary stenting.
  • It broadens the differential diagnosis for rectal bleeding in patients with a history of biliary stenting.
  • Highlights the need for vigilance in diagnosing and managing unusual stent migration events.