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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

Moderate distal esophageal stenosis before the third stent placement.
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fig5: Moderate distal esophageal stenosis before the third stent placement.

Mentions: To avoid recurrent balloon and plug dilatations, a second (22 mm diameter) CSES was placed two months after the removal of the first one on the distal esophageal stenosis, which was removed one month after placement. A third (22 mm diameter) CSES was placed due to the persisting dysphagia (Figure 5) two months after the removal of the second stent.


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)

Moderate distal esophageal stenosis before the third stent placement.
© Copyright Policy
Related In: Results  -  Collection

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

fig5: Moderate distal esophageal stenosis before the third stent placement.
Mentions: To avoid recurrent balloon and plug dilatations, a second (22 mm diameter) CSES was placed two months after the removal of the first one on the distal esophageal stenosis, which was removed one month after placement. A third (22 mm diameter) CSES was placed due to the persisting dysphagia (Figure 5) two months after the removal of the second stent.

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