Stent migration necessitating surgical intervention.
Surg Endosc
; 17(11): 1803-7, 2003 Nov.
Article
en En
| MEDLINE
| ID: mdl-14508668
ABSTRACT
BACKGROUND:
Internal drainage with transhepatically or endoscopically placed endoprostheses has been used for many years as a temporary or definitive treatment for biliary tract obstruction. As a late complication, stent migration may occur.METHODS:
We reviewed our records to identify patients who were operated on for a migrated endoprosthesis that was causing complications. In all, five such patients were identified.RESULTS:
One patient had a large bowel perforation. Bowel penetration led to an interenteric fistula in one patient and to a biliocolic fistula formation in another. Small bowel distension was found in two patients. Surgical treatment consisted of local excision in three patients, segmental resection in one patient, and a bypass operation in the patient with biliocolic fistula. Postoperatively, four patients recovered without problems, but one patient died during a complicated postoperative course.CONCLUSION:
If a stent becomes stuck in the gastrointestinal tract and is not accessible for endoscopic removal, early operative revision is mandatory to prevent further complications.
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Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Stents
/
Migración de Cuerpo Extraño
/
Colon
/
Yeyuno
Tipo de estudio:
Etiology_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Límite:
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Surg Endosc
Asunto de la revista:
DIAGNOSTICO POR IMAGEM
/
GASTROENTEROLOGIA
Año:
2003
Tipo del documento:
Article
País de afiliación:
Alemania