scholarly journals Tu1048 PREVALENCE AND RISK FACTORS FOR DUODENAL PERFORATION DUE TO MIGRATED BILIARY PLASTIC STENTS

2020 ◽  
Vol 91 (6) ◽  
pp. AB519-AB520
Author(s):  
Pauline M. Stassen ◽  
David de Jong ◽  
Jan-Werner Poley ◽  
Marco J. Bruno ◽  
PJF de Jonge
Keyword(s):  
Risk Factors ◽  
Plastic Stents ◽  
Duodenal Perforation

scholarly journals Complications due to Biliary Stent Deviation

2021 ◽  
Vol 8 (1) ◽  
Author(s):  
Kinoshita Kumar ◽  
◽  
Fukuchi S ◽  
Murakami K ◽  
◽  
...  
Keyword(s):  
Computed Tomography ◽  
Endoscopic Sphincterotomy ◽  
Clinical Symptoms ◽  
Acute Cholangitis ◽  
Biliary Stent ◽  
Plastic Stents ◽  
Duodenal Perforation ◽  
Early Complications ◽  
Biliary Stents ◽  
Uterine Appendage

We often encounter complications from biliary stents used as a treatment for obstructive jaundice and acute cholangitis. Early complications after stent placement include pancreatitis, bleeding, and duodenal perforation [1]. Stent deviation is also a complication. This is particularly prominent for plastic stents, where stent deviation is observed in 6-18.7 % of cases [2]. Stent deviation is more common among patients who have undergone endoscopic sphincterotomy (Figure 1). Most deviated biliary plastic stents are excreted in stool or collected endoscopically, but, very rarely, complications causing gastrointestinal perforation have been reported. We have described deviated biliary plastic stents causing sigmoid colon diverticulum perforation and even uterine appendage penetration (Figure 2). Diagnosis can be made from clinical symptoms and abdominal computed tomography. Treatment is basically surgery. Biliary stent-related complications are inevitable, and sometimes become serious. On suspicion of such complications, the most important issue is to accurately and rapidly diagnose complications and conduct appropriate management.

Tu1473 Risk Factors of Duodenal Perforation Caused by Biliary Plastic Stent Migration

2017 ◽  
Vol 85 (5) ◽  
pp. AB641
Author(s):  
Jae Woo Lee ◽  
Ji Kon Ryu ◽  
Jun Hyuk Son ◽  
Jinwoo Kang ◽  
Sang Hyub Lee ◽  
...  
Keyword(s):  
Risk Factors ◽  
Stent Migration ◽  
Duodenal Perforation ◽  
Plastic Stent

scholarly journals Endoscopic management of duodenal perforations caused by migrated biliary plastic stents

2019 ◽  
Vol 07 (06) ◽  
pp. E792-E795 ◽  
Author(s):  
Shin Hee Kim ◽  
Jong Ho Moon ◽  
Yun Nah Lee ◽  
Tae Hoon Lee ◽  
Sang Myung Woo ◽  
...  
Keyword(s):  
Stent Migration ◽  
Plastic Stents ◽  
Endoscopic Management ◽  
Duodenal Perforation ◽  
Mortality And Morbidity ◽  
Procedural Complication ◽  
Life Threatening ◽  
Stage Renal Disease ◽  
End Stage ◽  
Duodenal Perforations

Abstract Background and study aims Duodenal perforation by migration of plastic stents placed to treat biliary lesions is rare but can be life-threatening. Surgical management is preferred, but it may increase risks of mortality and morbidity, especially in patients with underlying comorbidities and those of advanced age. We describe five cases of duodenal perforation that were successfully managed endoscopically. Four patients were elderly, and one had end-stage renal disease. We used cylindrically adapted cap-fitted endoscopy to successfully retrieve migrated plastic stents and to close the perforated walls with hemoclips. No post-procedural complication was noted. In conclusion, endoscopic management is appropriate as a first-line approach in patients with duodenal perforations caused by plastic stent migration.

scholarly journals Risk factors for distal migration of biliary plastic stents and related duodenal injury

2019 ◽  
Vol 34 (4) ◽  
pp. 1722-1728 ◽  
Author(s):  
Xiang-lei Yuan ◽  
Lian-song Ye ◽  
Qin Liu ◽  
Chun-cheng Wu ◽  
Wei Liu ◽  
...  
Keyword(s):  
Risk Factors ◽  
Plastic Stents ◽  
Duodenal Injury ◽  
Distal Migration

scholarly journals Study of risk factors in post-laparotomy wound dehiscence

2018 ◽  
Vol 5 (7) ◽  
pp. 2513
Author(s):  
Siddharth Verma ◽  
Sagar Manohar Patil ◽  
Ankur Bhardwaj
Keyword(s):  
Risk Factors ◽  
Significant Risk ◽  
Wound Dehiscence ◽  
Clinical History ◽  
Duodenal Perforation ◽  
High Morbidity ◽  
Abdominal Wound ◽  
Mortality And Morbidity ◽  
Initial Surgery ◽  
Abdominal Wound Dehiscence

Background: Wound dehiscence/burst abdomen is a very serious post-operative complication associated with high morbidity and mortality. The need for this study is to highlight the risk factors for wound dehiscence and remedial measures to prevent or reduce the incidence of wound dehiscence. This will certainly reduce mortality and morbidity in the form of prolonged hospital stay, increased economic burden on health care resources.Methods: This is a prospective and observational study involving all those who have developed abdomen wound dehiscence after initial surgery, an elaborative study of these cases with regard to date of admission, clinical history regarding the mode of presentation, significant risk factors, investigations, time of surgery and type of surgery postoperatively, study of diagnosis and day of diagnosis of wound dehiscence is done till the patient is discharged from the hospital. The collected data is analysed and statistics were made according to need.Results: The incidence of abdominal wound dehiscence is more common in male patients in 4th to 5th decade. Patients with peritonitis due to duodenal perforation, complicated appendicitis, pyoperitoneum and intestinal obstruction and carried higher risk of abdominal wound dehiscence. Abdominal wound dehiscence was more common in patients operated in emergency. Patients with intra-abdominal infection, anaemia, hypoalbuminemia, jaundice had higher incidence of wound dehiscence.Conclusions: Wound dehiscence can be prevented by improving nutritional status of patient, proper surgical technique, controlling infections and correcting co-morbid conditions. 

scholarly journals Evaluation of Potential Risk Factors Causing Abdominal Wound Dehiscence

2020 ◽  
Vol 3 (1) ◽  
pp. 21-25
Author(s):  
Ajay Kumar Jha ◽  
Santosh Kumar ◽  
Ajit Kumar Sinha
Keyword(s):  
Risk Factors ◽  
Significant Risk ◽  
Wound Dehiscence ◽  
Clinical History ◽  
Duodenal Perforation ◽  
High Morbidity ◽  
Abdominal Wound ◽  
Initial Surgery ◽  
Abdominal Wound Dehiscence ◽  
Intra Abdominal Infection

Background: Wound dehiscence/burst abdomen is a very serious post-operative complication associated with high morbidity and mortality. The aim of this study was to highlight the risk factors for wound dehiscence and remedial measures to prevent or reduce the incidence of wound dehiscence. Subjects and Methods: This is a prospective and observational study involving all those who have developed abdomen wound dehiscence after initial surgery, an elaborative study of these cases with regard to date of admission, clinical history regarding the   mode of presentation, significant risk factors, investigations, time of surgery and type of surgery postoperatively, study of diagnosis and day   of diagnosis of wound dehiscence is done till the patient is discharged from the hospital. The collected data is analysed and statistics were  made according to need. Results: The incidence of abdominal wound dehiscence is more common in male patients in 4th to 5th decade. Patients with peritonitis due to duodenal perforation, complicated appendicitis, pyoperitoneum and intestinal obstruction carried higher risk of abdominal wound dehiscence. Abdominal wound dehiscence was more common in patients operated in emergency. Patients with intra-abdominal infection, anaemia, hypoalbuminaemia, jaundice had higher incidence of wound dehiscence. Conclusion: Wound dehiscence can be prevented by improving nutritional status of patient, proper surgical technique, controlling infections and correcting co-morbid conditions.

Sa1433 RISK FACTORS FOR DISTAL MIGRATION OF BILIARY PLASTIC STENTS AND RELATED DUODENAL INJURY

2019 ◽  
Vol 89 (6) ◽  
pp. AB228-AB229
Author(s):  
Xianglei Yuan ◽  
Liansong Ye ◽  
Qin Liu ◽  
Chuncheng Wu ◽  
Wei Liu ◽  
...  
Keyword(s):  
Risk Factors ◽  
Plastic Stents ◽  
Duodenal Injury ◽  
Distal Migration

scholarly journals Clinical profile and outcome of the patients with spontaneous duodenal perforation and their association with H. pylori infection

2021 ◽  
Vol 8 (6) ◽  
pp. 1776
Author(s):  
Rownaq R. Najar ◽  
Mubashir A. Shah ◽  
Sameer H. Naqash
Keyword(s):  
Risk Factors ◽  
Peptic Ulcer ◽  
Observational Study ◽  
Dietary Habits ◽  
Standard Procedure ◽  
Perforated Peptic Ulcer ◽  
Duodenal Perforation ◽  
Delayed Presentation ◽  
Male Predominance ◽  
H Pylori

Background: Peptic ulcer disease is highly prevalent in general population managed mainly by medical treatment with H2 blockers, proton pump inhibitors and antibiotics with eradication of Helicobacter pylori, the complications have reduced, but perforation is still frequently occurring and is always a surgical emergency.Methods: It was a hospital based retrospective observational study from January 2015 to June 2017 and prospective observational study from July 2017 to June 2019. Study patients were diagnosed, managed and operated for perforated peptic ulcer at Sheri-i-Kashmir Institute of Medical Sciences, Soura, Kashmir, India. Data of 44 patients was collected using a standard proforma and their risk factors, operative procedure, post-operative progress and outcome was analysed.Results: In our study of 44 cases, patients between ages of 21-30 years (31.8) were commonly affected and there was male predominance (95.5%). Smoking, use of NSAIDS and improper treatment for peptic ulcer were major risk factors. 61.4% patients presented within 24 hours of presentation. Cellan Jones repair was performed in 60.4% patients. Complications were due to co-morbid illness, age and delayed presentation for treatment.Conclusions: Perforated peptic ulcer (PPU) is a frequent surgical emergency in our state, predominantly affecting young aged male, may be because of dietary habits (very spicy food), smoking, NSAIDS and other risk factors. Surgical intervention is always warranted. Simple closure with omental patch is standard procedure, followed by treatment for H. pylori eradication and was effective and majority of patients survived despite delayed preoperative admission.

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