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Surg Endosc. 2003 Nov;17(11):1803-7. Epub 2003 Sep 29.

Stent migration necessitating surgical intervention.

Author information

1
Department of General Surgery, University Clinic of Muenster, Waldeyerstrasse 1, D-48149 Münster, Germany. diller@uni-muenster.de

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.

PMID:
14508668
DOI:
10.1007/s00464-002-9163-5
[Indexed for MEDLINE]
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