#PAGE_PARAMS# #ADS_HEAD_SCRIPTS# #MICRODATA#

Perforation of colon sigmoideum as a delayed complication of ERCP


Authors: Politová P. 1;  Douda L. 1;  Štrincl L. 1;  Zádorová Z. 2
Authors‘ workplace: Gastroenterologická ambulance, Nemocnice Tábor, a. s. 1;  II. interní gastroenterologická klinika 3. LF UK a FN Královské Vinohrady, Praha 2
Published in: Gastroent Hepatol 2022; 76(6): 504-507
Category:
doi: https://doi.org/10.48095/ccgh2022504

Overview

Pancreatobiliary stent migration is not a common complication, mostly without serious consequences, but sometimes causing intestinal perforation. The authors describe migration of the DB stent into the sigmoid with subsequent completely asymptomatic perforation of the bowel wall. Due to the patient’s clinical condition and age, the perforation was successfully treated endoscopically.

Keywords:

ERCP – perforation – complications – migration – biliary stent


Sources

1. Dumonceau JM, Heresbach D, Devière J et al; European Society of Gastrointestinal Endoscopy. Biliary stents: models and methods for endoscopic stenting. Endoscopy 2011; 43 (7): 617–626. doi: 10.1055/s-0030-1256315.

2. Sleisenger MH, Feldman M, Friedman LS et al. Sleisenger & Fordtran‘s Gastrointestinal and Liver Disease: Pathophysiology, Dia­gnosis, Management. 8th ed. Philadelphia: Saunders 2006.

3. Jones M, George B, Jameson J et al. Biliary stent migration causing perforation of the caecum and chronic abdominal pain. BMJ Case Rep 2013; 2013: bcr2013009124. doi: 10.1136/bcr-2013- 009124.

4. Malgras B, Pierret C, Tourtier JP et al. Double Sigmoid colon perforation due to migration of a biliary stent. J Visc Surg 2011; 148 (5): e397–e399. doi: 10.1016/j.jviscsurg.2011.09.011.

5. Dumonceau JM, Tringali A, Blero D et al; European Society of Gastrointestinal Endoscopy. Biliary stenting: indications, choice of stents and results: European Society of Gastrointestinal Endoscopy (ESGE) clinical guideline. Endoscopy 2012; 44 (3): 277–298. doi: 10.1055/ s-0031-1291633.

6. Katsinelos P, Kountouras J, Paroutoglou G et al. Migration of plastic biliary stents and endoscopic retrieval: an experience of three referral centers. Surg Laparosc Endosc Percutan Tech 2009; 19 (3): 217–221. doi: 10.1097/SLE.0b013e3181a031f5.

7. Park TY, Hong SW, Oh HC et al. Colonic diverticular perforation by a migrated biliary stent: A case report with literature review. Medicine (Baltimore) 2021; 100 (52): e28392. doi: 10.1097/MD.0000000000028392.

8. Tao Y, Long J. Sigmoid colon perforation caused by migrated plastic biliary stents: a case report. Int J Colorectal Dis 2021; 36 (1): 199–201. doi: 10.1007/s00384-020-03728-2.

9. Wasserbauer M, Lochmannová J, Keil R. OVESCO clip as a solution of an ERCP complication. Gastroent Hepatol 2014; 68 (6): 485–487. doi: 10.14735/amgh2014485.

10. Paspatis GA, Dumonceau JM, Barthet M et al. Dia­gnosis and management of iatrogenic endoscopic perforations: European Society of Gastrointestinal Endoscopy (ESGE) Position Statement. Endoscopy 2014; 46 (8): 693–711. doi: 10.1055/s-0034-1377531.

Labels
Paediatric gastroenterology Gastroenterology and hepatology Surgery

Article was published in

Gastroenterology and Hepatology

Issue 6

2022 Issue 6

Most read in this issue
Login
Forgotten password

Enter the email address that you registered with. We will send you instructions on how to set a new password.

Login

Don‘t have an account?  Create new account

#ADS_BOTTOM_SCRIPTS#