Terapia de rescate en perforación de vía biliar con stent metálico autoexpandible totalmente cubierto posterior a falla en el manejo conservador: Reporte de un caso

Translated title of the contribution: Case report of rescue therapy for bile duct perforation using fully covered self-expanding metal stent after failure of conservative management

Germán Tovar F., Jairo Mendoza S., Carlos Velandia C., Carlos López L.

Research output: Contribution to journalArticlepeer-review

Abstract

Complications occur in 5% to 10% of patients who undergo endoscopic retrograde cholangiopancreatography (ERCP), but less than 1% suffer perforations. The use of fully covered self-expanding metal stents (SEMS) to close uncomplicated perforations has become a safe optional strategy for initial management of these patients, as well as for rescue therapy when conservative management has failed. We present the case of a 73-year-old patient with residual choledocholithiasis who underwent therapeutic ERCP with sphincterotomy and stone removal. Twelve hours after the intervention, the patient returned to the emergency department where a biliary tract type II perforation secondary to sphincterotomy was confirmed. Subsequent conservative management included suspension of oral feeding, administration of proton pump inhibitors and antibiotics, surgical evaluation and medical observation. Failure of non-surgical management led to consideration of placement of a fully covered SEMS as rescue therapy. The patient’s postoperative evolution was with satisfactory, and she was discharged eight days after stent placement.

Translated title of the contributionCase report of rescue therapy for bile duct perforation using fully covered self-expanding metal stent after failure of conservative management
Original languageSpanish
Pages (from-to)74-79
Number of pages6
JournalRevista Colombiana de Gastroenterologia
Volume33
Issue number1
DOIs
StatePublished - 1 Jan 2018

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