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Updated: Jun 2, 2025
07:44
Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction
Published on: March 25, 2022
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Duodenum and ascending colonal perforation due to biliary stent migration.
Qiuping Gu1, Xinyan Liu1, Chunping Zhu1
1Department of Gastroenterology, Ganzhou People's Hospital, Ganzhou, Jiangxi, 341000, China.
Heliyon
|January 15, 2025
Summary
Biliary stent migration can cause rare but serious bowel perforation. Endoscopic retrieval is a safe and effective treatment for dislodged stents, preventing further complications.
Area of Science:
- Gastroenterology
- Surgical Innovation
Background:
- Biliary stent migration is a rare complication.
- Common bile duct stones and acute cholangitis often necessitate biliary stent placement.
Observation:
- A 35-year-old male presented with abdominal pain.
- A biliary stent migrated, causing duodenal and colonic perforation.
- Computed tomography, upper endoscopy, and colonoscopy confirmed stent migration.
Findings:
- Endoscopic extraction of the migrated stent was successful.
- Endoscopic clipping closed the duodenal and colonic defects.
- Risk factors for stent dislocation include prolonged insertion (>1 month), stent width, and length.
Implications:
- Endoscopy is a minimally invasive and safe first-line treatment for biliary stent retrieval.
- Early detection and endoscopic intervention can prevent severe complications like bowel perforation.
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