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Published in: Journal of Gastrointestinal Surgery 11/2015

01-11-2015 | Original Article

Migration of Internal Pancreaticojejunostomy Stents into the Bile Ducts in Patients Undergoing Pancreatoduodenectomy

Authors: So Hyun Park, Jin Hee Kim, Seung Yeon Noh, Jae Ho Byun, Seung Soo Lee, Hyoung Jung Kim, Seong Ho Park, Sung Koo Lee, Dae Wook Hwang, Song Cheol Kim, Duck Jong Han, Moon-Gyu Lee

Published in: Journal of Gastrointestinal Surgery | Issue 11/2015

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Abstract

Purpose

To investigate the incidence, complications, and risk factors of the migration of internal pancreaticojejunostomy (PJ) stents into the bile ducts in patients undergoing pancreatoduodenectomy.

Methods

Postoperative computed tomography (CT) and clinical data of 802 patients with CT-detectable internal PJ stents were reviewed to assess the occurrence of stent migration into the bile ducts and stent-induced complications with their clinical significance. Risk factors for stent migration and stent-induced complications were determined.

Results

Stent migration into the bile ducts occurred in 135 patients (16.8 %); 40 of these (29.6 %) showed stent-induced complications including bile duct stricture, stone, and liver abscess. Clinically significant complications were identified in only eight patients. Neither the stent length nor diameter was associated with stent migration. A small stent diameter, peripheral location of the stent, absence of stent remigration from the bile ducts to the intestine, and longer stent retention time in the bile ducts were risk factors of stent-induced complications.

Conclusions

The incidence of internal PJ stent migration into the bile ducts was 16.8 %. Migrated stents frequently caused complications, although they were mostly subclinical. Stent-induced complications were associated with stent diameter and location, stent remigration to the intestine, and stent retention time in the bile ducts.
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Metadata
Title
Migration of Internal Pancreaticojejunostomy Stents into the Bile Ducts in Patients Undergoing Pancreatoduodenectomy
Authors
So Hyun Park
Jin Hee Kim
Seung Yeon Noh
Jae Ho Byun
Seung Soo Lee
Hyoung Jung Kim
Seong Ho Park
Sung Koo Lee
Dae Wook Hwang
Song Cheol Kim
Duck Jong Han
Moon-Gyu Lee
Publication date
01-11-2015
Publisher
Springer US
Published in
Journal of Gastrointestinal Surgery / Issue 11/2015
Print ISSN: 1091-255X
Electronic ISSN: 1873-4626
DOI
https://doi.org/10.1007/s11605-015-2906-0

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