Gastrointestinal bleeding due to deformed biliary stent
Abstract
Hemorrhage is a severe complication of endoscopic retrograde cholangiopancreatography (ERCP) with 1-2%
frequency. Hemorrhage is usually related to spinhcterotomy, however some case reports demonstrated that
hemorrhagic complications are not related to sphincterotomy. Hemorrhage due to bowel wall irritation of biliary metal
stent can be an example for this kind of bleedings. Pain at the site of stent must be considered for bowel wall irritation
in patients with biliary stent history. In the literature hemorrhage due to bowel wall irritation associated with deformed
metal stent was not reported. Here we presented our case with gastrointestinal hemorrhage due to duodenal ulcer
associated with deformed biliary metal stent irritation.
Keywords
References
- Talukdar R. Complications of ERCP. Best Pract Res Clin Gastroenterol 2016;30(5):793-805.
- Lee MH, Tsou YK, Lin CH, et al. Predictors of re-bleeding after endoscopic hemostasis for delayed post-endoscopic sphincterotomy bleeding. World J Gastroenterol 2016;22(11):3196-201.
- Jiménez-Pérez M, Melgar Simón JM, Durán Campos A, González Grande R, Rodrigo López JM, Manteca González R. Endoscopic management of post-liver transplantation biliary strictures with the use of fully covered metallic stents. Transplant Proc 2016;48(7):2510-4.
- Menon S. Hilar stenting for malignant biliary obstruction. Gastrointest Endosc 2016;83(2):478-9.
- Pfau PR, Pleskow DK, Banerjee S, et al. Pancreatic and biliary stents. ASGE Technology Assessment Committee. Gastrointest Endosc 2013;77(3):319-27.
- Yu DW, Hong MY, Hong SG. Endoscopic treatment of duodenal fistula after incomplete closure of ERCP-related duodenal perforation. World J Gastrointest Endosc 2014 16;6(6):260-5.
- Inoue T, Naitoh I, Okumura F, et al. Reintervention for stent occlusion after bilateral self-expandable metallic stent placement for malignant hilar biliary obstruction. Dig Endosc 2016 ;28(7):731-7.
- Togawa O, Kawabe T, Isayama H, et al. Management of occluded uncovered metallic stents in patients with malignant distal biliary obstructions using covered metallic stents. J Clin Gastroenterol 2008;42(5):546-9.
Details
Primary Language
Turkish
Subjects
-
Journal Section
Case Report
Authors
Fatih Saygılı
0000-0002-6182-7648
Türkiye
Erkin Öztaş
0000-0002-3160-7492
Türkiye
Orhan Coşkun
0000-0002-3124-9517
Türkiye
Bülent Ödemiş
0000-0002-3914-7531
Türkiye
Publication Date
March 1, 2018
Submission Date
December 30, 2016
Acceptance Date
February 15, 2017
Published in Issue
Year 1970 Volume: 57 Number: 1