Biliary stents are forgotten more frequently in elderly patients
| Autor: | Ali Erkan Duman, Sadettin Hülagü, Hasan Yilmaz |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Perforation (oil well) Gallstones Biliary Stenting Postoperative Complications Cholelithiasis medicine Humans Aged Retrospective Studies Aged 80 and over Cholangiopancreatography Endoscopic Retrograde Endoscopic retrograde cholangiopancreatography medicine.diagnostic_test business.industry Incidence (epidemiology) Medical record Stent General Medicine Middle Aged Foreign Bodies equipment and supplies Endoscopy Surgery Biliary Tract Surgical Procedures Treatment Outcome surgical procedures operative Biliary stent Female Stents business |
| Zdroj: | TURKISH JOURNAL OF MEDICAL SCIENCES. 51:3067-3072 |
| ISSN: | 1303-6165 |
| Popis: | BACKGROUND/AIM Plastic biliary stents that remain in situ for more than 12 months, termed forgotten biliary stents (FBSs), can cause complications such as cholangitis, stent migration, stent occlusion and perforation. We evaluated the incidence, complications, and management of FBSs in patients undergoing endoscopic retrograde cholangiopancreatography (ERCP). MATERIALS AND METHODS The medical records of patients who underwent ERCP procedures at the Gastroenterology Endoscopy Department of Kocaeli University Medical Faculty from December 2016 to December 2020 were analysed retrospectively. Data on patient characteristics, indications for ERCP and stenting, stent types, stenting duration, and complications were obtained from the hospital?s database. RESULTS A total of 48 cases with FBSs were analysed. The mean age (SD) of the patients was 71.23 years (12.165), the male to female ratio was 23/25 (0.92), and the mean stenting duration was 27.12 (range: 12?84) months. The most common indication for biliary stenting was irretrievable choledochal stones (40/48). Among the FBS patients in whom ERCP was performed, the most common presenting condition was cholangitis (22/34). Stone formation (79%) and proximal stent migration (26.4%) were the most frequent complications. The patients in the FBS group were significantly older than those in whom stents were removed in a timely manner (71.23 vs. 62.43 years, p < 0.001). Endoscopic treatment was possible in all cases; surgery was not required in any case. The most common cause of FBSs cited by patients was not having been informed about the need for long-term management of their stents (n = 14, 29.2%) Conclusion: FBSs are potentially problematic, particularly in older patients. Communication with the patient to remind them of the need for stent management is important for preventing FBSs. |
| Databáze: | OpenAIRE |
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