Successful Removal of a Biliary Stent in the Jejunum Using Double-Balloon Enteroscopy
Abstract
Background: Plastic biliary stent placement has been widely used as a safe approach for the management of hilar neoplasms or the dilation of benign biliary obstruction. Despite the complexity of this procedure, this approach is followed by a few complications. The incidence rate of stent migration is about 10%. In a majority of cases, the migrated stents are retained within the gastrointestinal tract and pass through the intestine with no complication or need for medical intervention. Case Report: In this paper, we described the case of the migrated biliary stent with prolonged abdominal pain, which was removed successfully by using double-balloon. Conclusion: In the case of patient with prolonged abdominal pain and previous history of biliary stent placement, migration of stent should be considered as differential diagnosis and Double-Balloon Enteroscopy can be a safe approach in those cases.[GMJ.2020;9:e1809]References
Salerno R, Mezzina N, Ardizzone S. Endoscopic retrograde cholangiopancreatography, lights and shadows: Handle with care. World J Gastrointest Endosc. 2019;11(3):219-30.
https://doi.org/10.4253/wjge.v11.i3.219
PMid:30918587 PMCid:PMC6425281
Ferreira R, Loureiro R, Nunes N, Santos AA, Maio R, Cravo M, et al. Role of endoscopic retrograde cholangiopancreatography in the management of benign biliary strictures: What's new? World J Gastrointest Endosc. 2016;8(4):220-31.
https://doi.org/10.4253/wjge.v8.i4.220
PMid:26962404 PMCid:PMC4766255
Singh RR, Singh V. Endoscopic management of hilar biliary strictures. World J Gastrointest Endosc. 2015;7(8):806-13.
https://doi.org/10.4253/wjge.v7.i8.806
PMid:26191345 PMCid:PMC4501971
Costamagna G, Boskoski I. Current treatment of benign biliary strictures. Ann Gastroenterol. 2013;26(1):37-40.
https://doi.org/10.1016/B978-1-4557-2367-6.00040-8
Dumonceau JM, Tringali A, Papanikolaou IS, Blero D, Mangiavillano B, Schmidt A, et al. Endoscopic biliary stenting: indications, choice of stents, and results: European Society of Gastrointestinal Endoscopy (ESGE) Clinical Guideline - Updated October 2017. Endoscopy. 2018;50(9):910-30.
https://doi.org/10.1055/a-0659-9864
PMid:30086596
Tierney J, Bhutiani N, Stamp B, Richey JS, Bahr MH, Vitale GC. Predictive risk factors associated with cholangitis following ERCP. Surgical endoscopy. 2018;32(2):799-804.
https://doi.org/10.1007/s00464-017-5746-z
PMid:28733732
Christensen M, Matzen P, Schulze S, Rosenberg J. Complications of ERCP: a prospective study. Gastrointestinal endoscopy. 2004;60(5):721-31.
https://doi.org/10.1016/S0016-5107(04)02169-8
Bagul A, Pollard C, Dennison AR. A review of problems following insertion of biliary stents illustrated by an unusual complication. Ann R Coll Surg Engl. 2010;92(4):W27-W31.
https://doi.org/10.1308/147870810X12659688852239
PMid:20501006 PMCid:PMC5696895
Namdar T, Raffel AM, Topp SA, Namdar L, Alldinger I, Schmitt M, et al. Complications and treatment of migrated biliary endoprostheses: a review of the literature. World J Gastroenterol. 2007;13(40):5397-9.
https://doi.org/10.3748/wjg.v13.i40.5397
PMid:17879415 PMCid:PMC4171335
Costamagna G, Pandolfi M, Mutignani M, Spada C, Perri V. Long-term results of endoscopic management of postoperative bile duct strictures with increasing numbers of stents. Gastrointestinal endoscopy. 2001;54(2):162-8.
https://doi.org/10.1067/mge.2001.116876
PMid:11474384
Rondonotti E, Sunada K, Yano T, Paggi S, Yamamoto H. Double-balloon endoscopy in clinical practice: where are we now? Digestive endoscopy : official journal of the Japan Gastroenterological Endoscopy Society. 2012;24(4):209-19.
https://doi.org/10.1111/j.1443-1661.2012.01240.x
PMid:22725104

Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution 4.0 International License that allows others to share the work with an acknowledgment of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).