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Esophagojejunal anastomosis fistula, distal esophageal stenosis, and metalic stent migration after total gastrectomy.

Al Hajjar N, Popa C, Al-Momani T, Margarit S, Graur F, Tantau M - Case Rep Surg (2015)

Bottom Line: To avoid a complex procedure on friable inflamed perianastomotic tissues, a coated self-expandable stent is mounted at the site of the anastomotic leak.However, another frequently encountered complication of stenting is stent migration, which is treated nonsurgically.When the migrated stent creates life threatening complications, surgical removal is indicated.

View Article: PubMed Central - PubMed

Affiliation: Department of Surgery, Regional Institute of Gastroenterology and Hepatology "Prof. Dr. Octavian Fodor", Croitorilor Street, No. 19-21, 400162 Cluj-Napoca, Romania ; 3rd Surgical Clinic, Iuliu Hatieganu University of Medicine and Pharmacy, Croitorilor Street, No. 19-21, 400162 Cluj-Napoca, Romania.

ABSTRACT
Esophagojejunal anastomosis fistula is the main complication after a total gastrectomy. To avoid a complex procedure on friable inflamed perianastomotic tissues, a coated self-expandable stent is mounted at the site of the anastomotic leak. A complication of stenting procedure is that it might lead to distal esophageal stenosis. However, another frequently encountered complication of stenting is stent migration, which is treated nonsurgically. When the migrated stent creates life threatening complications, surgical removal is indicated. We present a case of a 67-year-old male patient who was treated at our facility for a gastric adenocarcinoma which developed, postoperatively, an esophagojejunostomy fistula, a distal esophageal stenosis, and a metallic coated self-expandable stent migration. To our knowledge, this is the first reported case of an esophagojejunostomy fistula combined with a distal esophageal stenosis as well as with a metallic coated self-expandable stent migration.

No MeSH data available.


Related in: MedlinePlus

Abdominal X-ray: before (a) and after (b) balloon dilatation.
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fig4: Abdominal X-ray: before (a) and after (b) balloon dilatation.

Mentions: In the following three-month period he received chemotherapy (FU-FOL protocol) and continued having recurrent dysphagia episodes, for which he was being treated repeatedly by interventional endoscopy with balloon and plug dilation (Figure 4).


Esophagojejunal anastomosis fistula, distal esophageal stenosis, and metalic stent migration after total gastrectomy.

Al Hajjar N, Popa C, Al-Momani T, Margarit S, Graur F, Tantau M - Case Rep Surg (2015)

Abdominal X-ray: before (a) and after (b) balloon dilatation.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4402564&req=5

fig4: Abdominal X-ray: before (a) and after (b) balloon dilatation.
Mentions: In the following three-month period he received chemotherapy (FU-FOL protocol) and continued having recurrent dysphagia episodes, for which he was being treated repeatedly by interventional endoscopy with balloon and plug dilation (Figure 4).

Bottom Line: To avoid a complex procedure on friable inflamed perianastomotic tissues, a coated self-expandable stent is mounted at the site of the anastomotic leak.However, another frequently encountered complication of stenting is stent migration, which is treated nonsurgically.When the migrated stent creates life threatening complications, surgical removal is indicated.

View Article: PubMed Central - PubMed

Affiliation: Department of Surgery, Regional Institute of Gastroenterology and Hepatology "Prof. Dr. Octavian Fodor", Croitorilor Street, No. 19-21, 400162 Cluj-Napoca, Romania ; 3rd Surgical Clinic, Iuliu Hatieganu University of Medicine and Pharmacy, Croitorilor Street, No. 19-21, 400162 Cluj-Napoca, Romania.

ABSTRACT
Esophagojejunal anastomosis fistula is the main complication after a total gastrectomy. To avoid a complex procedure on friable inflamed perianastomotic tissues, a coated self-expandable stent is mounted at the site of the anastomotic leak. A complication of stenting procedure is that it might lead to distal esophageal stenosis. However, another frequently encountered complication of stenting is stent migration, which is treated nonsurgically. When the migrated stent creates life threatening complications, surgical removal is indicated. We present a case of a 67-year-old male patient who was treated at our facility for a gastric adenocarcinoma which developed, postoperatively, an esophagojejunostomy fistula, a distal esophageal stenosis, and a metallic coated self-expandable stent migration. To our knowledge, this is the first reported case of an esophagojejunostomy fistula combined with a distal esophageal stenosis as well as with a metallic coated self-expandable stent migration.

No MeSH data available.


Related in: MedlinePlus