Year 2024 / Volume 116 / Number 12
Letter
Two forgotten guests: biliary and pancreatic stents retained after 14 years

722-723

DOI: 10.17235/reed.2024.10870/2024

Ricardo Chicas-López, César Ramos Matamoros, María Fernanda Castillo Martínez, José Alberto González González,

Abstract
We present a 54-year-old man with a previous complicated choledocholithiasis 14 years ago, treated with sphincterotomy and biliary and pancreatic stents placement by endoscopic retrograde cholangiopancreatography (ERCP). The patient didn’t attend the follow-up. On this occasion, seeks medical attention at this medical center for abdominal pain, jaundice, and fever. Laboratory tests report leukocytosis with neutrophilia, elevated C reactive protein, and hyperbilirubinemia with cholestasis. An ERCP was performed and showed inflammatory ampullary tissue with a previous pancreatic and biliary stent in situ, both were removed succesfully with cold snare. Cholangiogram revealed a dilated bile duct and filling defects compatible with large stones. Due to the soft consistency of the stones, some of them were removed by balloon catheter without complete extraction, therefore a double pig-tail plastic stent was placed and new ERCP in 4 weeks. The patient received antibiotic therapy with piperacillin-tazobactam with a favorable evolution. During follow-up, a new ERCP was performed with extraction of stones and removal of the stent; there was no evidence of secondary biliary cirrhosis.
Share Button
New comment
Comments
No comments for this article
References
1. Kumar S, Chandra A, Kulkarni R, Maurya AP, Gupta V. Forgotten biliary stents: ignorance is not bliss. Surg Endosc. 2018;32(1):191-195. doi:10.1007/s00464-017-5657-z.
2. Sohn SH, Park JH, Kim KH, Kim TN. Complications and management of forgotten long-term biliary stents. World J Gastroenterol. 2017;23(4):622-628. doi:10.3748/wjg.v23.i4.622.
3. Gupta A, Rajput D, Chennat JJ, Singla T, Ahmed SS. Stentolith in Bile Duct: A Neglected Entity-Case Report with Review of Literature. Surg J (N Y). 2022;8(1):e86-e89. doi:10.1055/s-0042-1743521.
4. García-Cano J, de la Santa Belda E, Domper F. Use a biodegradable stent in ERCP and it will never be forgotten. Rev Esp Enferm Dig. 2022;114(9):513-515. Doi:10.17235/reed.2022.8926/2022. PMID: 35638768
Related articles

Letter

Acute cholecystitis treated by direct visualization endoscopy

DOI: 10.17235/reed.2023.9432/2022

Editorial

Fewer endoscopists should perform more ERCPs

DOI: 10.17235/reed.2023.9507/2022

Editorial

Use a biodegradable stent in ERCP and it will never be forgotten

DOI: 10.17235/reed.2022.8926/2022

Digestive Diseases Image

Traumatic high flow arterioportal fistula. Correction by a covered stent

DOI: 10.17235/reed.2022.8724/2022

Letter

ERCP and situs inversus

DOI: 10.17235/reed.2021.8374/2021

Editorial

Cases of liver disease lost in the health system: a call to action

DOI: 10.17235/reed.2021.8316/2021

Digestive Diseases Image

Malignancy of intraductal papillary neoplasm of the bile duct

DOI: 10.17235/reed.2021.8193/2021

Review

Practical management of primary biliary cholangitis

DOI: 10.17235/reed.2021.8219/2021

Digestive Diseases Image

Cholangiohydatidosis: an uncommon cause of acute cholangitis

DOI: 10.17235/reed.2020.7063/2020

Review

Management of pancreatic collections: an update

DOI: 10.17235/reed.2020.6814/2019

Digestive Diseases Image

A rare case of acute cholangitis after endoscopic ampullectomy

DOI: 10.17235/reed.2020.6653/2019

Digestive Diseases Image

A complex case of low-phospholipid-associated cholelithiasis syndrome

DOI: 10.17235/reed.2020.6625/2019

Letter

Fungal cholangitis of the hepatobiliary tract: a case report

DOI: 10.17235/reed.2019.6258/2019

Digestive Diseases Image

A rare case of acute obstructive suppurative pancreatic ductitis associated with ERCP

DOI: 10.17235/reed.2018.5756/2018

Letter

A giant abdominal collection: when things are not what they seem

DOI: 10.17235/reed.2018.5642/2018

Editorial

Pancreatic stents in ERCP. Where are we?

DOI: 10.17235/reed.2018.5670/2018

Letter to the Editor

Me, the intruder: revisited and rethought

DOI: 10.17235/reed.2018.5575/2018

Letter

Obstructive jaundice secondary to a hepatic hydatid cyst

DOI: 10.17235/reed.2018.5574/2018

Letter

A study of a pancreatic mass: not all is what it seems

DOI: 10.17235/reed.2018.5527/2018

Digestive Diseases Image

Cholangitis secondary to afferent loop syndrome from a gastric stump adenocarcinoma

DOI: 10.17235/reed.2018.5394/2017

Editorial

Pursuing excellence in ERCP

DOI: 10.17235/reed.2018.5373/2017

Letter to the Editor

A post-endoscopic retrograde cholangiopancreatography subcapsular hepatic hematoma

DOI: 10.17235/reed.2017.5123/2017

Letter to the Editor

Accuracy of ASGE criteria for the prediction of choledocholithiasis

DOI: 10.17235/reed.2017.4511/2016

Case Report

Hepatic hematoma after ERCP: two new case reports

DOI: 10.17235/reed.2017.4237/2016

Original

Accuracy of ASGE criteria for the prediction of choledocholithiasis

DOI: 10.17235/reed.2016.4212/2016

Case Report

The clinical extremes of autoimmune cholangitis

DOI: 10.17235/reed.2017.4167/2015

Original

Self-expanding metal stents in postoperative esophageal leaks

DOI: 10.17235/reed.2016.3987/2015

Digestive Diseases Image

Successive breaks in biliary stents

Citation tools
Chicas-López R, Ramos Matamoros C, Castillo Martínez M, González González J. Two forgotten guests: biliary and pancreatic stents retained after 14 years. 10870/2024


Download to a citation manager

Download the citation for this article by clicking on one of the following citation managers:

Metrics
This article has received 55 visits.
This article has been downloaded 5 times.

Statistics from Dimensions


Statistics from Plum Analytics

Publication history

Received: 15/10/2024

Accepted: 17/10/2024

Online First: 24/10/2024

Published: 13/12/2024

Article Online First time: 9 days

Article editing time: 59 days


Share
This article hasn't been rated yet.
Reader rating:
Valora este artículo:




Asociación Española de Ecografía Digestiva Sociedad Española de Endoscopia Digestiva Sociedad Española de Patología Digestiva
The Spanish Journal of Gastroenterology is the official organ of the Sociedad Española de Patología Digestiva, the Sociedad Española de Endoscopia Digestiva and the Asociación Española de Ecografía Digestiva
Cookie policy Privacy Policy Legal Notice © Copyright 2024 y Creative Commons. The Spanish Journal of Gastroenterology