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Risk factors for distal migration of biliary plastic stents and related duodenal injury
BACKGROUND: The risk factors of duodenal injury from distal migrated biliary plastic stents remain uncertain. The aim of this study was to determine the risk factors of distal migration and its related duodenal injury in patients who underwent placement of a single biliary plastic stent for biliary...
Autores principales: | , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer US
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7093356/ https://www.ncbi.nlm.nih.gov/pubmed/31321537 http://dx.doi.org/10.1007/s00464-019-06957-x |
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author | Yuan, Xiang-lei Ye, Lian-song Liu, Qin Wu, Chun-cheng Liu, Wei Zeng, Xian-hui Zhang, Yu-hang Guo, Lin-jie Zhang, Yu-yan Li, Yan Zhou, Xin-yue Hu, Bing |
author_facet | Yuan, Xiang-lei Ye, Lian-song Liu, Qin Wu, Chun-cheng Liu, Wei Zeng, Xian-hui Zhang, Yu-hang Guo, Lin-jie Zhang, Yu-yan Li, Yan Zhou, Xin-yue Hu, Bing |
author_sort | Yuan, Xiang-lei |
collection | PubMed |
description | BACKGROUND: The risk factors of duodenal injury from distal migrated biliary plastic stents remain uncertain. The aim of this study was to determine the risk factors of distal migration and its related duodenal injury in patients who underwent placement of a single biliary plastic stent for biliary strictures. METHODS: We retrospectively reviewed all patients with biliary strictures who underwent endoscopic placement of a single biliary plastic stent from January 2006 to October 2017. RESULTS: Two hundred forty-eight patients with 402 endoscopic retrograde cholangiopancreatography procedures were included. The incidence of distal migration was 6.2%. The frequency of duodenal injury was 2.2% in all cases and 36% in cases with distal migration. Benign biliary strictures (BBS), length of the stent above the proximal end of the stricture (> 2 cm), and duration of stent retention (< 3 months) were independently associated with distal migration (p = 0.018, p = 0.009, and p = 0.016, respectively). Duodenal injury occurred more commonly in cases with larger angle (≥ 30°) between the distal end of the stent and the centerline of the patient’s body (p = 0.018) or in cases with stent retention < 3 months (p = 0.031). CONCLUSIONS: The risk factors of distal migration are BBS and the length of the stent above the proximal end of the stricture. The risk factor of duodenal injury due to distal migration is large angle (≥ 30°) between the distal end of the stent and the centerline of the patient’s body. Distal migration and related duodenal injury are more likely to present during the early period after biliary stenting. |
format | Online Article Text |
id | pubmed-7093356 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Springer US |
record_format | MEDLINE/PubMed |
spelling | pubmed-70933562020-03-26 Risk factors for distal migration of biliary plastic stents and related duodenal injury Yuan, Xiang-lei Ye, Lian-song Liu, Qin Wu, Chun-cheng Liu, Wei Zeng, Xian-hui Zhang, Yu-hang Guo, Lin-jie Zhang, Yu-yan Li, Yan Zhou, Xin-yue Hu, Bing Surg Endosc Article BACKGROUND: The risk factors of duodenal injury from distal migrated biliary plastic stents remain uncertain. The aim of this study was to determine the risk factors of distal migration and its related duodenal injury in patients who underwent placement of a single biliary plastic stent for biliary strictures. METHODS: We retrospectively reviewed all patients with biliary strictures who underwent endoscopic placement of a single biliary plastic stent from January 2006 to October 2017. RESULTS: Two hundred forty-eight patients with 402 endoscopic retrograde cholangiopancreatography procedures were included. The incidence of distal migration was 6.2%. The frequency of duodenal injury was 2.2% in all cases and 36% in cases with distal migration. Benign biliary strictures (BBS), length of the stent above the proximal end of the stricture (> 2 cm), and duration of stent retention (< 3 months) were independently associated with distal migration (p = 0.018, p = 0.009, and p = 0.016, respectively). Duodenal injury occurred more commonly in cases with larger angle (≥ 30°) between the distal end of the stent and the centerline of the patient’s body (p = 0.018) or in cases with stent retention < 3 months (p = 0.031). CONCLUSIONS: The risk factors of distal migration are BBS and the length of the stent above the proximal end of the stricture. The risk factor of duodenal injury due to distal migration is large angle (≥ 30°) between the distal end of the stent and the centerline of the patient’s body. Distal migration and related duodenal injury are more likely to present during the early period after biliary stenting. Springer US 2019-07-18 2020 /pmc/articles/PMC7093356/ /pubmed/31321537 http://dx.doi.org/10.1007/s00464-019-06957-x Text en © The Author(s) 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. |
spellingShingle | Article Yuan, Xiang-lei Ye, Lian-song Liu, Qin Wu, Chun-cheng Liu, Wei Zeng, Xian-hui Zhang, Yu-hang Guo, Lin-jie Zhang, Yu-yan Li, Yan Zhou, Xin-yue Hu, Bing Risk factors for distal migration of biliary plastic stents and related duodenal injury |
title | Risk factors for distal migration of biliary plastic stents and related duodenal injury |
title_full | Risk factors for distal migration of biliary plastic stents and related duodenal injury |
title_fullStr | Risk factors for distal migration of biliary plastic stents and related duodenal injury |
title_full_unstemmed | Risk factors for distal migration of biliary plastic stents and related duodenal injury |
title_short | Risk factors for distal migration of biliary plastic stents and related duodenal injury |
title_sort | risk factors for distal migration of biliary plastic stents and related duodenal injury |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7093356/ https://www.ncbi.nlm.nih.gov/pubmed/31321537 http://dx.doi.org/10.1007/s00464-019-06957-x |
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