title: Successive breaks in biliary stents.
abstract: A 64 year-old male, was diagnosed with obstructive jaundice due to a well-differentiated pancreatic neuroendocrine tumor with liver metastases. The patient underwent endoscopic placement of covered self-expanding biliary stent (10x60 mm, Hanaro) by ERCP. He was admitted with cholangitis one year later. The following ERCP revealed a fractured stent with loss of the distal end (duodenal) and partial migration of the remaining stent to the common bile duct. The fragmented stent was removed from the common bile duct and a new, similar one was inserted. Four months later the patient was admitted with cholangitis. A new ERCP was done and biliary stent was also fragmented. It was removed and an uncovered stent (Wallflex) was inserted.
authors.affiliation: Digestivo, Hospital de León, España.
authors.forename: Jesús
authors.initials: J
authors.lastname: Espinel
authors.affiliation: Radiodiagnostico, Hospital de León, España.
authors.forename: Eugenia
authors.initials: E
authors.lastname: Pinedo
authors.affiliation: Digestivo, Hospital Universitario Dr. Negrín. Las Palmas de G, España.
authors.forename: Vanesa
authors.initials: V
authors.lastname: Ojeda
authors.affiliation: Department of Digestive Diseases, Burton Hospitals NHS , UK.
authors.forename: María
authors.initials: M
authors.lastname: Guerra
mesh_terms: D001652:Bile Ducts; D020878:Device Removal; D006801:Humans; D041781:Jaundice, Obstructive / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011475:Prosthesis Failure; D019919:Prosthesis Implantation; D015607:Stents / Q000009:adverse effects*