EFFECT OF THE 'DOUBLE J STENT PLACEMENT TECHNIQUE' ON EARLY AND LATE STENT-RELATED COMPLICATIONS

Yıl 2022, Cilt: 29 Sayı: 4, 585 - 590, 27.12.2022

Osman Ergün , Sefa Alperen Öztürk , Kadir Eryılmaz

https://doi.org/10.17343/sdutfd.1153365

Öz

Objective
Currently, there is no globally accepted method for
the Double J stent placement. We aimed to reveal
the success and complication rates of the approach
applied in our clinic and to show a prediction for clinics
with similar technical backgrounds and facilities as
ours.
Material and Method
The data of 774 patients who had double J stent
placement in our clinic between January 2019 and
January 2022 were reviewed retrospectively. Stentrelated
complication rates and independent risk
factors affecting stent migration were analysed.
Results
Nine hundred and seven double J stents were placed
in 774 patients. The mean age of the patients was
54.3±20.1 (20-90). The indications for double J stent
placement were; ureteral stones (46.5%), kidney
stones (19.1%) and ureteral stenosis (34.4%),
respectively. 91 (11.8%) of all patients had severe
stent migration requiring additional intervention.
Conclusion
Our study is the first in the literature investigating the
relationship between the double J stent placement
technique and stent migration. Our clinic's double J
stent migration rate (11.8%) is similar to the stents
placed under fluoroscopy, which were calculated with
the stent length by various formulations in the current
literature.

Anahtar Kelimeler

Double J stent, Complication, Migration, Tecnique, Upper urinary tract obstruction

DOUBLE J STENT TAKIM TEKNİĞİNİN, STENTE BAĞLI ERKEN VE GEÇ KOMPLİKASYONLAR ÜZERİNE ETKİSİ

Öz

Amaç
Double J stent takımında evrensel olarak kabul görmüş
bir metot yoktur. Kliniğimizde uyguladığımız metodun
başarı ve komplikasyon oranlarını ortaya koyarak
bizim ile aynı teknik alt yapı ve imkanlara sahip
klinikler için bir öngörü ortaya koymaktır.
Gereç ve Yöntem
Kliniğimizde Ocak 2019 ile Ocak 2022 tarihleri arasında
double J stent takılan 774 hastanın verileri geriye
dönük olarak tarandı. Stente bağlı komplikasyon
oranları ve stent migrasyonuna etkili olabilecek bağımsız
risk faktörleri analiz edildi.
Bulgular
774 hastaya 907 adet double J stent takıldı. Hastaların
yaş ortalaması 54,3±20,1 (20-90) idi. Hastalara
double J stent takılma nedenleri: üreter taşı (%46,5),
böbrek taşı (%19,1) ve üreter darlığı (%34,4) idi. Tüm
hastaların 91 (%11,8) adedinde ek müdahaleyi gerektiren
ciddi stent migrasyon vardı.
Sonuç
Bizim çalışmamız litertürdeki double J stent takma
tekniği ile stent migrasyonu arasındaki ilişkiyi araştıran
ilk çalışma olma özelliğini taşımaktadır. Double
J stent migrasyon oranımız (%11,8) hemen hemen
güncel literatürde stent boyu çeşitli formülasyonlar ile
hesaplanarak bulunan ve skopi altında takılan stentlerde
görülen migrasyon oranına yakındır.

Anahtar Kelimeler

Double J stent, Komplikasyon, Migrasyon, Teknik, Üst üriner sistem obstrüksiyonu

Kaynakça

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