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胆管支架迁移至食管。

Sems Sensibility: Biliary Stent Migration into the Oesophagus.

机构信息

Department of Surgical Sciences, Sapienza University of Rome, Rome, Italy.

出版信息

Dig Dis Sci. 2023 Dec;68(12):4321-4325. doi: 10.1007/s10620-023-08068-z. Epub 2023 Oct 27.

DOI:10.1007/s10620-023-08068-z
PMID:37889378
Abstract

Endoprostheses are commonly used in the treatment of biliary and pancreatic disorders. Fully-covered metal stents are intended for the palliation of malignant strictures in the biliary tree. We report a case of a patient affected by cancer of the pancreas who was treated with a proximal metallic biliary stent. The stent migrated to the oesophagus and was endoscopically removed. Proximal migration, although rare, should be kept in mind as a potential complication of the procedure.

摘要

内假体常用于治疗肝胆和胰腺疾病。全覆膜金属支架用于缓解胆道恶性狭窄。我们报告了一例胰腺癌症患者使用近端金属胆道支架治疗的病例。支架迁移到食管并经内镜取出。尽管近端迁移很少见,但应将其视为该手术的潜在并发症。

相似文献

1
Sems Sensibility: Biliary Stent Migration into the Oesophagus.胆管支架迁移至食管。
Dig Dis Sci. 2023 Dec;68(12):4321-4325. doi: 10.1007/s10620-023-08068-z. Epub 2023 Oct 27.
2
Difficult removal of fully covered self expandable metal stents (SEMS) for benign biliary strictures: the "SEMS in SEMS" technique.用于良性胆管狭窄的完全覆盖自膨式金属支架(SEMS)的困难取出:“支架套支架”技术
Dig Liver Dis. 2014 Jun;46(6):568-71. doi: 10.1016/j.dld.2014.02.018. Epub 2014 Mar 22.
3
Covered vs. uncovered self-expandable metal stents for malignant distal biliary strictures: a systematic review and meta-analysis.覆膜与非覆膜自膨式金属支架治疗恶性远端胆管狭窄的系统评价和荟萃分析。
Endoscopy. 2018 Jun;50(6):631-641. doi: 10.1055/s-0043-125062. Epub 2018 Jan 17.
4
Covered self-expandable metal stents with an anti-migration system improve patency duration without increased complications compared with uncovered stents for distal biliary obstruction caused by pancreatic carcinoma: a randomized multicenter trial.带防迁移系统的覆膜自膨式金属支架与未覆膜支架相比,可改善因胰腺癌导致的远端胆道梗阻的通畅时间,而不增加并发症:一项随机多中心试验。
Am J Gastroenterol. 2013 Nov;108(11):1713-22. doi: 10.1038/ajg.2013.305. Epub 2013 Sep 17.
5
Fully covered self-expandable metal stents to dilate persistent pancreatic strictures in chronic pancreatitis: long-term follow-up from a prospective study.全覆膜自膨式金属支架扩张慢性胰腺炎持续性胰腺狭窄:一项前瞻性研究的长期随访
Gastrointest Endosc. 2018 Dec;88(6):939-946. doi: 10.1016/j.gie.2018.08.019. Epub 2018 Aug 22.
6
Percutaneous transhepatic self-expanding metal stents for palliation of malignant biliary obstruction.经皮经肝自膨式金属支架用于恶性胆道梗阻的姑息治疗。
S Afr J Surg. 2012 Jul 11;50(3):54, 56, 58 passim. doi: 10.7196/sajs.1302.
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Late migration of two covered biliary stents through a spontaneous bilioenteric fistula in a patient with malignant biliary obstruction.一名恶性胆道梗阻患者体内两枚覆膜胆道支架经自发性胆肠瘘延迟移位
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Fully covered removable nitinol self-expandable metal stents (SEMS) in malignant strictures of the esophagus: a multicenter analysis.完全覆膜可回收镍钛形状记忆合金支架(SEMS)治疗食管恶性狭窄:多中心分析。
Surg Endosc. 2012 Jun;26(6):1664-9. doi: 10.1007/s00464-011-2089-z. Epub 2011 Dec 17.
9
Clinical efficacy of anti-migration features in fully covered metallic stents for anastomotic biliary strictures after liver transplantation: comparison of conventional and anti-migration stents.覆膜金属支架抗迁移特性在肝移植术后吻合口胆管狭窄中的临床疗效:传统支架与抗迁移支架的比较。
Gastrointest Endosc. 2018 Oct;88(4):655-664. doi: 10.1016/j.gie.2018.06.035. Epub 2018 Jul 10.
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Predictors of stent dysfunction after self-expandable metal stent placement for malignant gastric outlet obstruction: tumor ingrowth in uncovered stents and migration of covered stents.自膨式金属支架置入治疗恶性胃出口梗阻后支架功能障碍的预测因素:uncovered stents 中的肿瘤生长和 covered stents 的迁移。
Surg Endosc. 2017 Oct;31(10):4165-4173. doi: 10.1007/s00464-017-5471-7. Epub 2017 Mar 9.

本文引用的文献

1
Surgical removal of a hepaticogastrostomy stent because of its recurrent dislocation into the esophagus.因肝胃造口术支架反复脱入食管而进行手术取出。
Endoscopy. 2020 Apr;52(4):E148-E149. doi: 10.1055/a-1025-1773. Epub 2019 Nov 15.
2
Biliary stent migration presenting as transdiverticular sigmoid perforation.以经憩室乙状结肠穿孔表现的胆管支架移位
J Surg Case Rep. 2011 Mar 1;2011(3):6. doi: 10.1093/jscr/2011.3.6.
3
Endoscopic salvage technique for spontaneous dislocation and tumor ingrowth of a partially covered, self-expandable metallic stent after endoscopic ultrasound-guided choledochoduodenostomy.
内镜超声引导下胆总管十二指肠吻合术后部分覆盖自膨式金属支架自发性脱位及肿瘤长入的内镜挽救技术
Endoscopy. 2014;46 Suppl 1 UCTN:E58-9. doi: 10.1055/s-0033-1359163. Epub 2014 Feb 12.
4
Fractured metallic biliary stent causing obstruction and jejunal perforation.金属胆道支架断裂导致梗阻和空肠穿孔。
Asian J Endosc Surg. 2013 Aug;6(3):234-6. doi: 10.1111/ases.12033.
5
Complications and treatment of migrated biliary endoprostheses: a review of the literature.移位胆管内支架的并发症与治疗:文献综述
World J Gastroenterol. 2007 Oct 28;13(40):5397-9. doi: 10.3748/wjg.v13.i40.5397.
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Jejunal perforation for biliary stent dislocation.
Am J Gastroenterol. 2006 Apr;101(4):908-9. doi: 10.1111/j.1572-0241.2006.00509.x.
7
Retroperitoneal perforation of the duodenum from biliary stent erosion.十二指肠因胆道支架侵蚀导致的腹膜后穿孔。
Curr Surg. 2005 Sep-Oct;62(5):512-5. doi: 10.1016/j.cursur.2005.03.011.
8
Stent migration necessitating surgical intervention.支架移位需要手术干预。
Surg Endosc. 2003 Nov;17(11):1803-7. doi: 10.1007/s00464-002-9163-5. Epub 2003 Sep 29.
9
Perforation of ileum: an unusual complication of distal biliary stent migration.
Endoscopy. 2000 Nov;32(11):S67.
10
Stenting or surgery for treatment of irretrievable common bile duct calculi in elderly patients?老年患者无法取出的胆总管结石采用支架置入术还是手术治疗?
Am J Surg. 1999 Nov;178(5):390-3. doi: 10.1016/s0002-9610(99)00211-1.