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

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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