Guide for Patients with a Biliary Metal Stent

Guide for Patients with a Biliary Metal Stent
A Guide for Patients
Living with a
Biliary Metal Stent
What is a
biliary metal stent?
A biliary metal stent (also known as
a “bile duct stent”) is a flexible metallic
tube specially designed to hold your
bile duct open, which has been blocked
or partially blocked.
When a blockage occurs in the bile duct,
fluids like bile (bilirubin) are unable to flow
into the duodenum to aid in digestion.
This may cause bile to build up in the liver
and produce symptoms such as jaundice
(yellow coloring of the skin), abdominal
pain and nausea.
A biliary stent is inserted to reduce or
eliminate this blockage. Once it is in
place in the obstructed area, the stent
is designed to expand and open the
channel so that fluids can continue to
move to the intestine.
What should I expect during
the procedure?
Your metal stent will be implanted in the distal region or
the hilar region of the bile duct by a doctor who is specially
trained in this procedure. The endoscopic retrograde
cholangiopancreatography (ERCP) procedure is typically
performed under general anesthesia.
During the ERCP procedure, an endoscope will be inserted
into your esophagus through your mouth. An endoscope
is a flexible thin lighted tube designed to allow your doctor
to see your GI tract. The endoscope is advanced through
your stomach into your duodenum. The physician will then
advance a thin wire (called a guidewire) through the
papilla and into the bile duct. The stent is placed over the
wire and guided into position. Once in place, your doctor
will open the stent in the obstructed area. The stent is
designed to stay in place and maintain the opening for a
period of time.
Stent in hilar region
hepatic duct
Cystic duct
Common bile duct
Stent in
distal region
Are there any risks to
the procedure?
As with any medical procedure there are risks associated
with metal stent placement, and you should talk to your
doctor about what they are. Your doctor will be able to
explain the risks and answer your questions.
Potential complications that may be experienced
with a biliary metal stent placement/ERCP procedure
include, but are not limited to:
� Pain
� Bleeding
� Fever
� Nausea
� Vomiting
� Infection
� Inflammation
� Recurrent obstructive jaundice
� Stent occlusion
� Tumor overgrowth around ends of stent
� Tumor ingrowth through the stent
Please note that these are not the only complications associated
with metal stent placement. Indications, Contraindications, Warnings
and Instructions for Use can be found in the product labeling supplied
with each device.
What if my stent
becomes blocked?
For various reasons, your stent might become blocked after
some time. This is normal, but it is important for you to
know when it blocks so that you do not become sick as a
result of the blockage. If your stent blocks, you should go
to the hospital immediately and inform the staff that you
have been fitted with a biliary metal stent.
You might experience any of the following symptoms
as a result of biliary stent blockage:
� Yellow or itchy skin (jaundice)
� Upper right abdominal pain
� Biliary colic – spasmodic upper abdominal pain
� Fever
� Nausea and vomiting
� Flatulence or pale stool
� Pain under right shoulder blade
Please note that these are not the only symptoms of bile duct
stent blockage. If you have other symptoms, consult your doctor.
Questions for your doctor
Below are some questions to ask your doctor, as
well as space to write your own questions. Your
doctor is the best source of information regarding
your condition.
What should I expect in terms of recovery?
After my biliary metal stent is placed, will I need
further treatment?
Questions for your doctor
Should I restrict my activity?
When may I resume normal activity and eating?
Additional Questions/Notes
Please carry this card
with you at all times
This card has important information
about your biliary metal stent that
healthcare providers will need to know
in order to care for you. This card is
conveniently sized to fit in a wallet.
Patient ID Card
Adhered Here
(Doesn’t Print)
Physician Name:
Phone Number:
WallFlex is a registered
or unregistered trademark of
Boston Scientific Corporation
or its affiliates.
Warning: The safety and
effectiveness of the WallFlex
Biliary Stent for use in the vascular
system has not been established.
Illustrations are for informational
use only – not indicative of actual
clinical outcome.
Indications, Contraindications,
Warnings and Instructions for Use
can be found in the product
labeling supplied with each device.
CAUTION: Federal (USA) law
restricts this device to sale by or
on the order of a physician.
©2014 Boston Scientific Corporation
or its affiliates. All rights reserved.
ENDO-228606-AA 5M March 2014
Patient with a
Biliary Metal Stent
� T he owner of this card
has been fitted with a
biliary metal stent.
Patient Name:
Placement Date:
Stent Name:
Stent Size:
Physician Name:
Magnetic Resonance Conditional: Through non-clinical testing, the WallFlex Biliary RX Stent
has been shown to be MR Conditional (poses no known hazards under specified conditions), when
used under the conditions outlined in the Directions for Use.
ENDO-228606-AA March 2014
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