Medline ® Abstract for Reference 144
of 'Rare complications of endoscopic retrograde cholangiopancreatography (ERCP)'
Gut perforation caused by biliary endoprosthesis.
Størkson RH, Edwin B, Reiertsen O, Faerden AE, Sortland O, Rosseland AR
Two cases are reported of perforation of the gut caused by biliary endoprosthesies in the three-year period 1993-1995. The first patient was an 81-year-old man who had perforation of the terminal ileum caused by a straight 10 French/7 cm stent which had been dislodged from the bile duct; he underwent laparotomy but did not recover. The second patient was an 86-year-old man who had perforation of the sigmoid colon caused by a straight 7 French/5 cm stent left in the duodenum during a stent exchange procedure; he was successfully treated laparoscopically. Two cases of gut perforation in a three-year period is a rather high rate of this rare complication of placement of biliary endoprostheses.
Surgical Department, Central Hospital of Akershus, Nordbyhagen, Norway.