Buckling of redundant expansile stent distal to an oesophageal cancer: endoscopic management.
This report describes a complication that occurred as a result of deploying an Ultraflex stent too low in relation to a stenosing carcinoma of the gastro-oesophageal junction. Intermittent kinking of the redundant lower end of the stent caused frequent episodes of total dysphagia. A percutaneous endoscopic gastrostomy was deployed to anchor the redundant portion of the stent within the stomach, allowing it to be shortened with endoscopic stitch cutters. This procedure relieved the episodic dysphagia, and was well tolerated.
Sen
S
S
Gastroenterology Unit, Royal Gwent Hospital, Newport, South Wales, United Kingdom.
Balaratnam
N
N
Wood
L A
LA
Allison
M C
MC
D000230:Adenocarcinoma / Q000628:therapy*; D002299:Cardia; D020776:Endoscopes, Gastrointestinal; D016099:Endoscopy, Gastrointestinal / Q000379:methods*; D004938:Esophageal Neoplasms / Q000628:therapy*; D005500:Follow-Up Studies; D005774:Gastrostomy / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D015607:Stents / Q000009:adverse effects*; D013274:Stomach Neoplasms / Q000628:therapy*