Biliyer stent migrasyonuna bağlı gelişen duodenal perforasyon
Endoskopik biliyer stentleme işlemi tıkanma ikterlerinin tedavisinde en çok tercih edilen yöntemdir. Biliyer stentli hastalarda %5-10 oranında stent migrasyonu meydana gelir. Migre stentlere bağlı intestinal perfo- rasyon oldukça nadir görülen ancak hayatı tehdit eden bir komplikas- yondur. Bu yazıda, migre biliyer stente bağlı duodenum perforasyonu gelişen bir olgu sunulmaktadır.
Duodenal perforation due to migration of a biliary stent
Endoscopic biliary stenting is the preferred method of decompression in obstructive jaundice. Stent migration occurs in approximately 5%-10% of patients undergoing biliary stenting. Intestinal perforation caused by migrated stents is a very rare but life-threatening complication. In this article, we present a case of a migrated biliary stent that resulted in duodenal perforation.
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- Soehendra N, Reynders-Frederix V. Palliative bile duct drainage: a new endoscopic method of introducing a transpapillary drain. En- doscopy 1980;12:8-11.
- Johanson JF, Schmalz MJ, Geenen JE. Incidence and risk for biliary and pancreatic stent migration. Gastrointest Endosc 1992;38:314-6.
- Arhan M, Odemiş B, Parlak E, et al. Migration of biliary plastic stents: experience of a tertiary center. Surg Endosc 2009;23:769-75.
- Wurbs D. The development of biliary drainage and stenting. Endos- copy 1998;30:A202-6.
- Chaurasia OP, Rauws EA, Fockens P, Huibregtse K. Endoscopic techniques for retrieval of proximally migrated biliary stents: the Amsterdam experience. Gastrointest Endosc 1999;50:780-5.
- Issa H, Nahawi M, Bseiso B, Al-Salem A. Migration of a biliary stent causing duodenal perforation and biliary peritonitis. World J Gas- trointest Endosc 2013;5:523-6.
- Saranga Bharathi R, Rao P, Ghosh K. Iatrogenic duodenal perfora- tions caused by endoscopic biliary stenting and stent migration: an update. Endoscopy 2006;38:1271-4.
- Klein U, Weiss F, Wittkugel O. Migration of a biliary Tanne- baum stent with perforation of a sigmoid diverticulum. Rofo 2001;15:1043.
- Akimboye F, Lloyd T, Hobson S, Garcea G. Migration of endoscopic biliary stent and small bowel perforation within an incisional her- nia. Surg Laparosc Endosc Percutan Tech 2006;16:39-40.
- Storkson RH, Edwin B, Reiertsen O, et al. Gut perforation caused by biliary endoprosthesis. Endoscopy 2000;32:87-9.
- Miller G, Yim D, Macari M, et al. Retroperitoneal perforation of the duodenum from biliary stent erosion. Curr Surg 2005;62:512-5.
- Novacek G, Hormann M, Puig S, et al. Duodenal perforation sec- ondary to placement of a biliary endoprosthesis diagnosed by mul- tislice computed tomography. Endoscopy 2002;34:351.
- Katsinelos P, Paroutoglou G, Papaziogas B, et al. Treatment of a duodenal perforation secondary to endoscopic sphincterotomy with clips. World J Gastroenterol 2005;11:6232-4.
- Seibert DG. Use of an endoscopic clipping device to repair a duode- nal perforation. Endoscopy 2003;35:189.
- Putcha RV, Burdick JS. Management of iatrogenic perforation. Gas- troenterol Clin North Am 2003;32:1289-309.
- Stapfer M, Selby RR, Stain SC, et al. Management of duodenal per- foration after endoscopic retrograde cholangiopancreatography and sphincterotomy. Ann Surg 2000;232:191-8.