The Pierced Colon: When Biliary Stents Go the Wrong Way.

Autor:	Rybinski F; Clarunis Universitäres Bauchzentrum Basel, Basel, Switzerland., Heinrich H; Clarunis Universitäres Bauchzentrum Basel, Basel, Switzerland., Zimmerli M; Clarunis Universitäres Bauchzentrum Basel, Basel, Switzerland., Kahl S; Clarunis Universitäres Bauchzentrum Basel, Basel, Switzerland.
Jazyk:	angličtina
Zdroj:	ACG case reports journal [ACG Case Rep J] 2023 Apr 03; Vol. 10 (3), pp. e01019. Date of Electronic Publication: 2023 Apr 03 (Print Publication: 2023).
DOI:	10.14309/crj.0000000000001019
Abstrakt:	Bowel perforation of biliary stents is a rare complication of biliary stenting. We report the successful endoscopic treatment of a 78-year-old man with a straight biliary plastic stent perforating the ascending colon without underlying structural abnormality in the affected segment. Perforation was detected incidentally during computed tomography; the patient had been under continued antibiotic therapy for liver abscess. Stent extraction was performed by using an endoscopic snare; the site of perforation was closed with through-the-scope clips. The patient remained asymptomatic. In addition, we reviewed published cases of perforated biliary stents and outlined that most perforations are caused by straight plastic stents. (© 2023 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of The American College of Gastroenterology.)
Databáze:	MEDLINE
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