Display options
Cite
Shimizu K, Takamori H, Baba H. Usefulness of surgical closure following intraoperative endoscopic additional stenting of duodenal perforation by stent: Report of a case. Int J Surg Case Rep. 2016;25:21-3doi: 10.1016/j.ijscr.2016.05.061.
Shimizu, K., Takamori, H., & Baba, H. (2016). Usefulness of surgical closure following intraoperative endoscopic additional stenting of duodenal perforation by stent: Report of a case. International journal of surgery case reports, 2521-3. https://doi.org/10.1016/j.ijscr.2016.05.061
Shimizu, Kenji, et al. "Usefulness of surgical closure following intraoperative endoscopic additional stenting of duodenal perforation by stent: Report of a case." International journal of surgery case reports vol. 25 (2016): 21-3. doi: https://doi.org/10.1016/j.ijscr.2016.05.061
Shimizu K, Takamori H, Baba H. Usefulness of surgical closure following intraoperative endoscopic additional stenting of duodenal perforation by stent: Report of a case. Int J Surg Case Rep. 2016;25:21-3. doi: 10.1016/j.ijscr.2016.05.061. Epub 2016 Jun 03. PMID: 27289171; PMCID: PMC4908309.
Copy Download .nbib Format: NLM
Share it on

Int J Surg Case Rep. 2016;25:21-3. doi: 10.1016/j.ijscr.2016.05.061. Epub 2016 Jun 03.

Usefulness of surgical closure following intraoperative endoscopic additional stenting of duodenal perforation by stent: Report of a case.

International journal of surgery case reports

Kenji Shimizu, Hiroshi Takamori, Hideo Baba

Affiliations

  1. Department of Surgery, Saiseikai Kumamoto Hospital, 5-3-1 Chikami, Minami-ku, Kumamoto 861-4193, Japan.
  2. Department of Surgery, Saiseikai Kumamoto Hospital, 5-3-1 Chikami, Minami-ku, Kumamoto 861-4193, Japan. Electronic address: [email protected].
  3. Department of Gastroenterological Surgery, Graduate School of Medical Sciences, Kumamoto University, 1-1-1 Honjo, Chuo-ku, Kumamoto 860-8556, Japan.

PMID: 27289171 PMCID: PMC4908309 DOI: 10.1016/j.ijscr.2016.05.061

Abstract

INTRODUCTION: Malignant duodenal stenosis occurs in patients with advanced periampullary cancer. Insertion of a self-expanding metal stent for the treatment of this condition carries the risk of subsequent perforation of the duodenum. We report successful treatment of duodenal perforation induced by a stent.

PRESENTATION OF CASE: An 80-year-old woman suffering from stenosis caused by advanced periampullary cancer underwent metallic stent placement and her symptoms improved. While attempting biliary re-stenting to prevent restenosis after 4 months, the proximal end of the duodenal metallic stent migrated into the abdominal cavity. Using a laparotomy intraoperative endoscope, duodenal stents were placed into the prolapsed stent in the form of stent-in-stent to reduce the axial force of the stent, after which the puncture site was closed by suturing. No leakage or stenosis was observed at the duodenum, and the patient was able to eat normally until her death 4 months after surgery.

CONCLUSION: Surgical closure following intraoperative endoscopic additional stenting is a viable option for duodenal perforation caused by a stent.

Copyright © 2016 The Authors. Published by Elsevier Ltd.. All rights reserved.

Keywords: Duodenal stent; Intraoperative stenting; Perforation

References

  1. Gastrointest Endosc. 1999 Aug;50(2):279-81 - PubMed
  2. Endoscopy. 2001 Mar;33(3):289-90 - PubMed
  3. Endoscopy. 2004 Jan;36(1):73-8 - PubMed
  4. Gastrointest Endosc. 2012 May;75(5):1115-7 - PubMed
  5. J Gastroenterol. 2007 Apr;42(4):283-90 - PubMed
  6. Am J Gastroenterol. 2006 Apr;101(4):735-42 - PubMed
  7. Gastrointest Endosc. 1997 Aug;46(2):161-5 - PubMed
  8. Endoscopy. 1994 Oct;26(8):701-4 - PubMed
  9. Endoscopy. 2002 Jan;34(1):86-8 - PubMed
  10. Dig Endosc. 2013 Jan;25(1):1-6 - PubMed
  11. Gastrointest Endosc. 2006 Apr;63(4):725-7 - PubMed

Publication Types