Gérolami R, Codoul J F, Heyries L, Zamora C, Sahel J
Service d'Hépato-Gastroentérologie, Centre Hospitalier Universitaire Sainte-Marguerite, Marseille.
Gastroenterol Clin Biol. 2000 May;24(5):576-8.
We report on two cases of intestinal complications associated with the migration of biliary and cystogastrostomy stents. In the first case, intestinal perforation occurred after migration of an Amsterdam type biliary stent. In the second case, a double pig tail endoprosthesis induced intestinal occlusion which was successfully managed without surgery. Complications after intestinal migration of biliopancreatic stents are very rare and usually involve the colon. Our observations point out the potential gravity of intestinal migration of biliopancreatic stents and, as in the second case, the possible resolution of stent related intestinal occlusion after medical management.
我们报告了两例与胆管和胆囊胃吻合术支架移位相关的肠道并发症。第一例中，阿姆斯特丹型胆管支架移位后发生了肠穿孔。第二例中，双猪尾内支架导致肠阻塞，经非手术治疗成功处理。胆胰支架肠道移位后的并发症非常罕见，通常累及结肠。我们的观察指出了胆胰支架肠道移位的潜在严重性，以及如第二例所示，经药物治疗后与支架相关的肠阻塞可能得到解决。
