Successful endoscopic removal of three embedded esophageal self-expanding metal stents
نویسندگان
چکیده
In the report, we describe a case of refractory benign esophageal strictures from esophageal cancer after an operation for the placement of three partially covered self-expanding metal stents (SEMSs), which were all embedded in the esophageal wall. Using the stent-in-stent technique, the three embedded SEMSs were successfully removed without significant complications. To the best of our knowledge, few cases of the successful removal of multiple embedded esophageal SEMSs have been reported in the literature. This case also highlights that the stent-in-stent technique is effective for removing multiple embedded esophageal SEMSs.
منابع مشابه
Stent-in-stent, a safe and effective technique to remove fully embedded esophageal metal stents: case series and literature review
BACKGROUND Endoscopic stenting is a widely used method for managing esophageal anastomotic leaks and perforations. Self-expanding metal stents (SEMSs) have proved effective in sealing these defects, with a lower rate of displacement than that of self-expanding plastic stents (SEPSs) as a result of tissue proliferation and granulation tissue ingrowth at the uncovered portion of the stent, which ...
متن کاملSafety of endoscopic removal of self-expandable stents after treatment of benign esophageal diseases.
BACKGROUND Temporary placement of self-expandable stents has been increasingly used for the management of benign esophageal diseases. OBJECTIVE To evaluate the safety of endoscopic removal of esophageal self-expandable stents placed for the treatment of benign esophageal diseases. DESIGN Multicenter retrospective study. SETTING Six tertiary care centers in the United States and Europe. ...
متن کاملApplication of the "covered-stent-in-uncovered-stent" technique for easy and safe removal of embedded biliary uncovered SEMS with tissue ingrowth.
self-expandable metal stents (uSEMS) is regarded as difficult or even impossible when the duration of indwell exceeds a couple of weeks, because of the ingrowth of tissue [1–3]. The presence of diffuse and severe ingrowth is the main feature limiting SEMS removal [1]. In the esophagus, placement of a self-expanding plastic stent (SEPS) inside the SEMS has been shown to induce pressure necrosis ...
متن کاملLaparoscopic first stage in a two-stage hepatectomy.
1. Serra C, Baltasar A, Andreo L, Pérez N, Bou R, Bengochea M, et al. Treatment of gastric leaks with coated selfexpanding stents after sleeve gastrectomy. Obes Surg. 2007;17:866–72. 2. Casella G, Soricelli E, Rizzello M, Trentino P, Fiocca F, Fantini A, et al. Nonsurgical treatment of staple line leaks after laparoscopic sleeve gastrectomy. Obes Surg. 2009;19:821–6. 3. Salinas A, Baptista A, S...
متن کاملPlastic and Biodegradable Stents for Complex and Refractory Benign Esophageal Strictures
Endoscopic stent placement is a well-accepted and effective alternative treatment modality for complex and refractory esophageal strictures. Among the currently available types of stents, the partially covered self-expanding metal stent (SEMS) has a firm anchoring effect, preventing stent migration and ensuring effective covering of a narrowed segment. However, hyperplastic tissue reaction driv...
متن کامل