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Updated: Aug 6, 2026
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Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction
Published on: March 25, 2022
[Delayed post-ERCP complication: an unusual case of biliary stent migration]
Lázaro Antonio Arango Molano1, Andrés Sánchez Gil2, Adhara Marina Estrada Torres3
1Universidad de Caldas, Manizales, Colombia; Unión de Cirujanos SAS, Manizales, Colombia.
Summary
Endoscopic retrograde cholangiopancreatography (ERCP) can cause perforations requiring biliary stents. Late stent migration is a rare but serious complication that can perpetuate biliary leaks and lead to infections or pancreatitis.
Area of Science:
- Gastroenterology
- Interventional Endoscopy
Background:
- Endoscopic retrograde cholangiopancreatography (ERCP) is vital for biliary and pancreatic disorders.
- ERCP carries risks, including Stapfer type III perforations from instrumental manipulation.
- Perforations may necessitate biliary stent placement to manage leaks.
Purpose of the Study:
- To investigate the implications of late biliary stent migration following ERCP-induced perforations.
- To highlight the potential for sustained biliary leaks and secondary complications.
Main Methods:
- Review of cases involving Stapfer type III perforations during ERCP.
- Analysis of complications associated with biliary stent placement and subsequent migration.
- Evaluation of outcomes related to persistent biliary leaks and associated infections or pancreatitis.
Main Results:
- Late migration of biliary stents is an infrequent but serious complication post-ERCP perforation.
- Migrated stents can perpetuate biliary leaks, increasing the risk of infection.
- Secondary pancreatitis is a potential consequence of persistent biliary leaks and stent issues.
Conclusions:
- Biliary stent migration is a significant concern in managing ERCP-related perforations.
- Vigilance is required to monitor for and manage late stent migration to prevent recurrent biliary leaks and complications.
- Effective management strategies are crucial to mitigate risks associated with ERCP complications.
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