Safe Endoscopic Removal of a Migrated Esophageal Stent Using a Protection Hood

Marta Serrani, Liza Ceroni, Pietro Fusaroli, M. Cristina D’Ercole, Giancarlo Caletti
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引用次数: 0

Abstract

Delayed esophageal metallic stent migration after a neo-adjuvant therapy of advanced esophageal cancer is a relatively frequent event, which is sometimes due to tumor response to chemotherapy.

Stent migration in the stomach is usually asymptomatic but it can cause potentially life-threatening complications as bowel obstruction or perforation.

Most gastric migrations can be managed endoscopically; however endoscopic stent removal could also be a risky procedure due to hemorrhage or esophageal perforation.

This case report describes a safe and quick endoscopic method to remove a migrated esophageal metallic stent from the stomach using a protection hood mounted on the tip of the endoscope.

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内镜下使用保护罩安全移除移位的食管支架
晚期食管癌新辅助治疗后食管金属支架延迟移位是一个相对常见的事件,有时是由于肿瘤对化疗的反应。胃内支架移动通常是无症状的,但它可能导致潜在的危及生命的并发症,如肠梗阻或穿孔。大多数胃迁移可以在内镜下处理;然而,由于出血或食管穿孔,内镜下支架移除也可能是一个危险的过程。本病例报告描述了一种安全快速的内窥镜方法,使用安装在内窥镜尖端的保护罩从胃中取出移位的食管金属支架。
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