Endoscopy 2006; 38(12): 1271-1274
DOI: 10.1055/s-2006-944960
© Georg Thieme Verlag KG Stuttgart · New York

Iatrogenic duodenal perforations caused by endoscopic biliary stenting and stent migration: an update

R.  Saranga Bharathi1 , P.  Rao2 , K.  Ghosh2
  • 1 Department of Surgery, Armed Forces Medical College, Pune, Maharashtra, India
  • 2 Department of Gastrointestinal Surgery, GE Centre, Command Hospital (Southern Command), Pune, Maharashtra, India
Further Information

Publication History

Submitted 20 June 2006

Accepted after revision 1 September 2006

Publication Date:
11 December 2006 (online)

Endoscopic biliary stenting is the preferred method of decompression in obstructive jaundice. Duodenal perforations caused during stenting and stent migration are rare but life-threatening complications, and require judicious management. With the increasing use of therapeutic endoscopy, an awareness of these complications is becoming important in our surgical practice. Advances in interventional radiology, endoscopy, and laparoscopy have enhanced the scope and reduced the morbidity of both conservative and surgical treatments of these perforations. This article presents an update on the current state of our knowledge on the science and the management of this complication.


R. Saranga Bharathi, MBBS

Department of Surgery · Armed Forces Medical College

Pune · Maharashtra 411040 · India

Fax: +91-2026815647

Email: sarangabharathi@rediffmail.com