Retrieving a Migrated Biliary Stent
Author Information
Author(s): Derek M Culnan, Bryan J Cicuto, Harjit Singh, Robert A Cherry
Primary Institution: The Pennsylvania State University, College of Medicine, M. S. Hershey Medical Center
Hypothesis
Can migrated biliary stents associated with perforation distal to the Ligament of Trietz be treated effectively with percutaneous techniques?
Conclusion
Migrated biliary stents associated with perforation can be treated safely and effectively using percutaneous drainage and retrieval techniques.
Supporting Evidence
- Endoscopic biliary stent placement is a safe and minimally invasive treatment for biliary diseases.
- Migration of biliary stents is a recognized complication, with less than 1% causing intestinal perforation.
- Percutaneous techniques can be effective alternatives to surgery for managing complications from migrated biliary stents.
Takeaway
If a biliary stent moves to the wrong place and causes a hole in the intestine, doctors can use special tools to take it out without needing to do big surgery.
Methodology
The case involved percutaneous drainage of an abscess and fluoroscopic removal of a migrated biliary stent.
Limitations
The study is based on a single case report, limiting generalizability.
Participant Demographics
A 76-year-old woman with multiple comorbidities.
Digital Object Identifier (DOI)
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