Evidence map›Paper›PMID 38206449›Full record

ArticleIndian journal of gastroenterology : official journal of the Indian Society of Gastroenterology2024

Outcome of forgotten biliary stents for more than five years-A two-decade experience.

Shyam Sunder Sharma, Sudhir Maharshi, Bharat Sapra, Sandeep Nijhawan, Dhruv Sharma

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Article in Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

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3citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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3 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Shyam Sunder SharmaDepartment of Gastroenterology, S M S Medical College and Hospitals, Room No. 218, Superspeciality Block, Jaipur, 302 004, India.
Sudhir MaharshiDepartment of Gastroenterology, S M S Medical College and Hospitals, Room No. 218, Superspeciality Block, Jaipur, 302 004, India. sudhir.maharshi@gmail.com.ORCID 0000-0003-0488-562X
Bharat SapraDepartment of Gastroenterology, S M S Medical College and Hospitals, Room No. 218, Superspeciality Block, Jaipur, 302 004, India.
Sandeep NijhawanDepartment of Gastroenterology, S M S Medical College and Hospitals, Room No. 218, Superspeciality Block, Jaipur, 302 004, India.
Dhruv SharmaDepartment of Surgery, Mahatma Gandhi Medical College and Hospitals, Jaipur, 303 905, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesProlonged biliary stenting may lead to complications such as cholangitis, stentolith and stent migration. There is limited data on forgotten biliary stents for more than five years in literature. The aim of this retrospective study was to analyze the complications and outcomes in patients who forgot to get their biliary stents removed or exchanged for more than five years.

methodsThe study population included patients who underwent endoscopic retrograde cholangiopancreatography (ERCP) and plastic biliary stent placements in a tertiary care center from 1990 to 2022 for benign biliary diseases. Loss to follow-up and subsequent forgotten stent for more than five years were observed in 40 patients who underwent ERCP during this study period. We retrospectively analyzed the indications of stenting, present status of stent, complications and outcomes in the study patients.

resultsThe mean age of the study patients was 51.5 ± 11.5 years with 27 females. Indications of biliary stent placement were choledocholithiasis (33, 82.5%), bile leak (3, 7.5%), benign biliary stricture (2, 5%) and choledochal cyst (2, 5%). The mean duration of forgotten stent was 5.9 ± 3.6 years. Presenting symptoms were abdominal pain (37, 92.5%), fever (26, 65%) and jaundice (32, 80%). Most commonly placed stent was 7 French double pigtail of 10 cm length. Complications in the study patients were cholangitis (35, 87.5%), internal migration (2, 5%), pancreatitis (1, 2.5%) and portal hypertension (1, 2.5%). The outcomes were stone removal (30, 90.9%), stent removal (31, 77.5%), stent reinsertion (19, 47.5%), broken stent (3, 7.5%) and surgery (2, 5%).

conclusionsProlonged duration (> 5 years) of forgotten stent is uncommon and is observed most commonly in patients with choledocholithiasis. The most common complication of long duration of forgotten stents was cholangitis followed by internal migration, pancreatitis and portal hypertension. Stone and stent removal was successful in a majority of patents, while surgery was required in less number of patients.

Indexed as

Cholangiopancreatography, Endoscopic RetrogradeStentsAdultAgedBiliary Tract DiseasesCholangitisCholedocholithiasisDevice RemovalFemaleForeign-Body MigrationHumansMaleMiddle AgedPostoperative ComplicationsRetrospective StudiesTime FactorsBile leakBiliaryBiliary StrictureBroken stentCholangitisCholedocholithiasisEndoscopic retrograde cholangiopancreatographyMigrated stentPancreatobiliaryProlong durationStent removalStents

Identifiers

PMID38206449

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