Kandel Bishnu P, Luitel Prajjwol, Shrestha Asim, Sharma Deepak, Manandhar Narendra, Maskey Sumita P, Bhandari Ramesh S, Lakhey Paleswan J
Department of Surgical Gastroenterology, Tribhuvan University Teaching Hospital, Institute of Medicine, Tribhuvan University, Kathamndu 44600, Nepal.
Maharajgunj Medical Campus, Institute of Medicine, Tribhuvan University, Kathmandu 44600, Nepal.
J Surg Case Rep. 2024 Dec 26;2025(1):rjae825. doi: 10.1093/jscr/rjae825. eCollection 2025 Jan.
Biliary stents are widely used following endoscopic management of choledocholithiasis. Removal is recommended within 3-6 months to prevent complications. This study analyzed cases of retained biliary stents managed at our institution. Data on patient demographics, duration of stent retention, complications, and management outcomes were collected and analyzed. The mean age of the patients was 60 years (range: 50-82), and the mean stent retention duration was 29.5 months (range: 12-52 months). Acute cholangitis (83.3%) was the most frequent clinical presentation. Endoscopic stone removal was successful in two cases (33.3%), while the remaining four required open bile duct exploration due to technical challenges. Retained biliary stents are associated with severe complications such as recurrent choledocholithiasis and acute cholangitis, often necessitating invasive interventions. These findings underscore the critical importance of timely stent retrieval to minimize morbidity.
胆管支架在胆总管结石的内镜治疗后被广泛使用。建议在3 - 6个月内取出以预防并发症。本研究分析了在我们机构处理的胆管支架留置病例。收集并分析了患者人口统计学数据、支架留置时间、并发症及处理结果。患者的平均年龄为60岁（范围：50 - 82岁），支架平均留置时间为29.5个月（范围：12 - 52个月）。急性胆管炎（83.3%）是最常见的临床表现。两例（33.3%）内镜下取石成功，其余四例因技术难题需要进行开腹胆管探查。胆管支架留置与复发性胆总管结石和急性胆管炎等严重并发症相关，常需进行侵入性干预。这些发现强调了及时取出支架以降低发病率的至关重要性。
