Treatment of post-stent gastroesophageal reflux by anti-reflux Z-stent.
Severe symptoms of heartburn and retrosternal pain consistent with gastro-esophageal reflux (GER) developed in a patient following placement of a conventional self-expanding 16-24-mm-diameter x 12-cm-long esophageal stent across the gastroesophageal junction to treat an obstructing esophageal carcinoma. A second 18-mm-diameter x 10-cm-long esophageal stent with anti-reflux valve was deployed coaxially and reduced symptomatic GER immediately. Improvement was sustained at 4-month follow-up. An anti-reflux stent can be successfully used to treat significant symptomatic GER after conventional stenting.
Department of Radiology, North Western Adelaide Health Service, Woodville South, Adelaide, South Australia. roger.davies@nwahs.sa.gov.au
R P
RP
Davies
J
J
Kew
P D
PD
Byrne
D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000150:complications / Q000473:pathology / Q000601:surgery; D004938:Esophageal Neoplasms / Q000150:complications / Q000473:pathology / Q000601:surgery; D004940:Esophageal Stenosis / Q000000981:diagnostic imaging / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D005764:Gastroesophageal Reflux / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008297:Male; D010166:Palliative Care; D011474:Prosthesis Design; D011475:Prosthesis Failure; D019919:Prosthesis Implantation / Q000295:instrumentation*; D011859:Radiography; D012086:Reoperation; D015607:Stents