Abstract
SDMS members can earn SDMS CME credit by successfully completing the complimentary online CME test in the SDMS Learning Center at learn.sdms.org. Non-members may access the online CME test for a fee.
Discuss the use of endoscopic stenting for biliary obstruction.
List complications associated with biliary stenting.
Explain the differences between proximal and distal stent migration and the factors associated with each type.
Which of the following is considered the most commonly seen complication of the use of biliary stents? A. Hepatic duct dilatation B. Cholangitis C. Cholecystitis D. Duodenal injury
Migration of biliary stents is a complication which may be seen in what percentage of patients who have undergone biliary stenting? A. More than 20% B. 10 – 20 % C. 5 – 10% D. Less than 4%
Figure 3 demonstrates a dual transverse sonogram that illustrates the proximal biliary stent. What does the solid white arrow identify? A. The proximal biliary stent in the GB lumen B. The distal biliary stent in the CBD C. The double lumen of the biliary stent in the head of the pancreas D. Choledocholithiasis in the CBD
Stent migration in the biliary system is more commonly seen with _________. A. Benign disorders and shorter stents B. Malignant disorders and longer stents C. The degree of stenosis in malignant pathology D. Bile duct diameter less than 10 mm