Year 2022 / Volume 114 / Number 12
Letter
An unexpected complication of prophylactic esophageal stenting: esophageal stent impaction after thread dislocation

768-769

DOI: 10.17235/reed.2022.9151/2022

Li-Qi Mao, Hong-Bin Yu, Jing-Jing Li, Gui-Jun Wei, Lin-Hua Yao,

Abstract
A 47-year-old woman was referred to our department with opportunistic endoscopic findings of two submucosal esophageal bulges, approximately half the circumference of the esophagus, both nearly 2.0 cm in size, and 24-27 cm from the incisors. Ultrasound endoscopy diagnosed smooth muscle tumors originating from the muscularis propria layer and she next underwent submucosal tunneling endoscopic resection. Intraoperatively, part of the tumor could not be separated from the muscularis propria layer and a U-shaped tumor was finally resected. A fully covered self-expanding esophageal nitinol stent was then inserted, covering the full circumference esophageal mucosa. The stent was fixed by ears with knotted thread and proton pump inhibitors were given for 1 week.
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References
1. Wadhwa RP, Kozarek RA, France RE, et al. Use of self-expandable metallic stents in benign GI diseases. Gastrointest Endosc 2003;58(2):207-12. DOI: 10.1067/mge.2003.343
2. Cheng Y-S, Li M-H, Chen W-X, et al. Temporary partially-covered metal stent insertion in benign esophageal stricture. World J Gastroenterol 2003;9(10):2359-61. DOI: 10.3748/wjg.v9.i10.2359
3. Iglesias Jorquera E, Egea Valenzuela J, Serrano Jiménez A, et al. Endoscopic treatment of postoperative esophagogastric leaks with fully covered self-expanding metal stents. Rev Esp Enferm Dig 2021;113(1):14-22. DOI: 10.17235/reed.2020.6821/2019
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Mao L, Yu H, Li J, Wei G, Yao L. An unexpected complication of prophylactic esophageal stenting: esophageal stent impaction after thread dislocation. 9151/2022


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Publication history

Received: 24/08/2022

Accepted: 31/08/2022

Online First: 12/09/2022

Published: 12/12/2022

Article Online First time: 19 days

Article editing time: 110 days


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