A rare complication of endobiliary stenting
The article provides our own experience of the rare (0.7%) cases of complications of endoscopic stenting with plastic endobiliary stents in patients with benign pathology of the bile ducts. The specificity of the present study is in the fact that initially poor long-term outcomes are due to grave violations in methodology of this category (stented) of patients management both by the patients themselves, and, unfortunately, by medical personnel. The cause of complications after endobiliary stenting was significant excess of permissible term of foreign bodies (plastic stent) residents in the bile ducts. The mechanism of the above complications development is due to stent encrustation with bile salts and their obstruction, the development of cholangitis, recurrent choledocholithiasis, obstructive jaundice. The conclusions on necessity of strict observance of the temporary regulation of the use of plastic stents - no more than 2-4 months, taking into account the diameter of the stent, and only in specialized surgical clinics are drawn.