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Endoscopy 1997; 29(2): 125-127
DOI: 10.1055/s-2007-1004087
DOI: 10.1055/s-2007-1004087
Case Report
© Georg Thieme Verlag KG Stuttgart · New York
Misplacement of Endoscopic Biliary Endoprostheses
Further Information
Publication History
Publication Date:
17 March 2008 (online)
Abstract
Four patients with cholangiocarcinoma involving the common hepatic duct or the confluence of the hepatic ducts are described here, in whom endoscopically placed endoprostheses were unknowingly misplaced, with their proximal portions lying outside the bile duct system. Because of persisting jaundice, the stents were changed endoscopically in three cases on several occasions, but the misplacement was not recognized. The problem was recognized during percutaneous transhepatic cholangiography in all four patients, with percutaneous stent placement allowing resolution of the jaundice. The avoidance and management of this complication is discussed.