What question did this study set out to answer?

To identify clinical and anatomical risk factors for stent migration into the abdominal cavity following endoscopic ultrasound-guided hepaticogastrostomy.

July 14, 2021Journal of Clinical MedicineOpen Access

Risk Factors for Stent Migration into the Abdominal Cavity after Endoscopic Ultrasound-Guided Hepaticogastrostomy

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Authors

KOKazushige OchiaiKyorin University TFToshio FujisawaJuntendo University SIShigeto IshiiJuntendo University

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Implication

Retrospective study reveals stomach-to-liver distance predicts stent migration in biliary drainage patients, suggesting self-anchoring designs prevent complications.

Key Points

To identify clinical and anatomical risk factors for stent migration into the abdominal cavity following endoscopic ultrasound-guided hepaticogastrostomy.
Retrospective review of N=48 patients undergoing EUS-HGS with long, partially covered self-expandable metallic stents (LPC-SEMS).
Technical success, functional success, and procedural adverse events including stent displacement were tracked.
Logistic regression analysis was performed to evaluate anatomical variables, including pre-procedure stomach-to-liver puncture distance.
Technical success of the procedure was achieved in 100% of patients (48/48).
Stent migration occurred in 10% of cases (5/48), consisting of 1 actual migration into the abdominal cavity (2%) and 4 imminent migrations requiring intervention (8%).
Greater initial pre-procedure distance between the stomach and liver at the puncture site was significantly associated with stent migration (p = 0.012).

Cite This Study

Ochiai et al. (2021) studied this question.

synapsesocial.com/papers/6ab0d632e440a2ddc0ec4cb1 https://doi.org/10.3390/jcm10143111

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Implication

Retrospective study reveals stomach-to-liver distance predicts stent migration in biliary drainage patients, suggesting self-anchoring designs prevent complications.

Risk Factors for Stent Migration into the Abdominal Cavity after Endoscopic Ultrasound-Guided Hepaticogastrostomy

Discussion

Member takes

Implication

Key Points

Cite This Study

Risk Factors for Stent Migration into the Abdominal Cavity after Endoscopic Ultrasound-Guided Hepaticogastrostomy

Discussion

Member takes

Implication

Key Points

Cite This Study

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