Clinical outcomes and complications of retained biliary stents during the COVID-19 pandemic: a case series.

IF 0.4 Q4 SURGERY

Journal of Surgical Case Reports Pub Date : 2024-12-26 eCollection Date: 2025-01-01 DOI:10.1093/jscr/rjae825

Bishnu P Kandel, Prajjwol Luitel, Asim Shrestha, Deepak Sharma, Narendra Manandhar, Sumita P Maskey, Ramesh S Bhandari, Paleswan J Lakhey

{"title":"Clinical outcomes and complications of retained biliary stents during the COVID-19 pandemic: a case series.","authors":"Bishnu P Kandel, Prajjwol Luitel, Asim Shrestha, Deepak Sharma, Narendra Manandhar, Sumita P Maskey, Ramesh S Bhandari, Paleswan J Lakhey","doi":"10.1093/jscr/rjae825","DOIUrl":null,"url":null,"abstract":"<p><p>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.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 1","pages":"rjae825"},"PeriodicalIF":0.4000,"publicationDate":"2024-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11670800/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Surgical Case Reports","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1093/jscr/rjae825","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q4","JCRName":"SURGERY","Score":null,"Total":0}

引用次数: 0

Abstract

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.

查看原文本刊更多论文

COVID-19大流行期间保留胆道支架的临床结果和并发症：病例系列

胆道支架广泛应用于内镜下胆管结石的治疗。建议在3-6个月内取出，以防止并发症。本研究分析了我院保留胆道支架的病例。收集和分析患者人口统计学数据、支架保留时间、并发症和管理结果。患者平均年龄为60岁（范围：50-82），平均支架保留时间为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。内镜下取石成功2例（33.3%），其余4例由于技术上的困难需要开胆管探查。保留的胆道支架与严重的并发症相关，如复发性胆管结石和急性胆管炎，通常需要侵入性干预。这些发现强调了及时取出支架以减少发病率的重要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊