Abstract
Biliary and gastrointestinal stents are often seen in radiology practice. Complications from stents can develop soon after insertion or can be delayed for weeks or months. Early complications include pain, bleeding, perforation, and stent migration. The most common late complication is stent obstruction because of tumor ingrowth or a food or fecal bolus. Another complication is stent migration. Complications after stent migration can be classified into penetration, perforation, and obstruction of the intestine. Multidetector row computed tomography allows an accurate diagnosis in terms of the location and nature of a misplaced or displaced stent. Biliary and gastrointestinal stents must be differentiated from other foreign bodies that may be found within the lumen of the gastrointestinal tract.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Similar content being viewed by others
References
Chun HJ, Kim ES, Hyun JJ et al (2010) Gastrointestinal and biliary stents. J Gastroenterol Hepatol 25:234–243
Katsanos K, Sabharwal T, Adam A (2010) Stenting of the upper gastrointestinal tract: current status. Cardiovasc Intervent Radiol 33:690–705
Baerlocher MO, Asch MR, Vellahottam A et al (2008) Safety and efficacy of gastrointestinal stents in cancer patients at a community hospital. Can J Surg 51:130–134
Kim JH, Song H-Y, Shin JH et al (2007) Stent collapse as a delayed complication of placement of a covered gastroduodenal stent. AJR 188:1495–1499
Kullman E, Frozanpor F, Söderlund C et al (2010) Covered versus uncovered self-expandable nitinol stents in the palliative treatment of malignant distal biliary obstruction: results from a randomized, multicenter study. Gastrointest Endosc 72:915–923
Fernández-Esparrach G, Bordas JM, Giráldez MD et al (2010) Severe complications limit long-term clinical success of self-expanding metal stents in patients with obstructive colorectal cancer. Am J Gastroenterol 105:1087–1093
Diller R, Senninger N, Kautz G et al (2003) Stent migration necessitating surgical intervention. Surg Endosc 17:1803–1807
Namdar T, Raffel AM, Topp SA et al (2007) Complications and treatment of migrated biliary endoprostheses: a review of the literature. World J Gastroenterol 13:5397–5399
Johanson J, Schmalg M, Greenor J (1992) Incidence and risk factors for biliary and pancreatic stent migration. Gastrointest Endosc 38:341–346
Jendresen MB, Svendsen LB (2001) Proximal displacement of biliary stent with distal perforation and impaction in the pancreas. Endoscopy 33:195
Liebich-Bartholain L, Kleinau U, Elsbernd H et al (2001) Biliary pneumonitis after proximal stent migration. Gastrointest Endosc 2001:382–384
Pathak AK, de Souza LJ (2001) Duodenocolic fistula: an unusual sequela of stent migration. Endoscopy 33:731
Ruffolo TA, Lehman GA, Sherman S et al (1992) Biliary stent migration with colonic diverticular impaction. Gastrointest Endosc 38:81–83
Gayer G, Petrovitch I, Jeffrey RB (2011) Foreign objects encountered in the abdominal cavity at CT. Radiographics 31:409–428
Abdullah BJ, Teong LK, Mahadevan J et al (1998) Dental prosthesis ingested and impacted in the esophagus and orolaryngopharynx. J Otolaryngol 27:190–194
Nwafo DC, Anyanwu CH, Egbue MO (1980) Impacted esophageal foreign bodies of dental origin. Ann Otol Rhinol Laryngol 89:129–131
Gwon DI, Ko GY, Kim JH et al (2010) A comparative analysis of PTFE-covered and uncovered stents for palliative treatment of malignant extrahepatic biliary obstruction. AJR 195:W463–W469
Kang SG (2010) Gastrointestinal stent update. Gut Liver 4(suppl 1):S19–S24
Horaguchi J, Fujita N, Noda Y et al (2009) Endosonography-guided biliary drainage in cases with difficult transpapillary endoscopic biliary drainage. Dig Endosc 21:239–244
Görich J, Rilinger N, Krämer S et al (1997) Displaced metallic biliary stents: technique and rationale for interventional radiologic retrieval. AJR 169:1529–1533
Kim HC, Han JK, Kim TK et al (2000) Duodenal perforation as a delayed complication of placement of an esophageal stent. J Vasc Interv Radiol 11:902–904
Hunter TB, Taljanovic MS, Tsau PH et al (2004) Medical devices of the chest. Radiographics 24:1725–1746
Fuentealba I, Taylor GA (2012) Diagnostic errors with inserted tubes, lines and catheters in children. Pediatr Radiol 42:1305–1315
Catalano O, De Bellis M, Sandomenico F et al (2012) Complications of biliary and gastrointestinal stents: MDCT of the cancer patient. AJR 199:W187–W196
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2014 Springer-Verlag Italia
About this chapter
Cite this chapter
Pinto, A., Vecchione, D., Romano, L. (2014). Foreign Bodies as Complications of Biliary Stents and Gastrointestinal Stents. In: Pinto, A., Romano, L. (eds) Imaging of Foreign Bodies. Springer, Milano. https://doi.org/10.1007/978-88-470-5406-6_6
Download citation
DOI: https://doi.org/10.1007/978-88-470-5406-6_6
Published:
Publisher Name: Springer, Milano
Print ISBN: 978-88-470-5405-9
Online ISBN: 978-88-470-5406-6
eBook Packages: MedicineMedicine (R0)