A rare life-threatening complication of migrated nitinol self-expanding metallic stent (Ultraflex).
The use of self-expanding metallic stents (SEMS) as esophageal endoprosthesis represents an advancement in the palliation of dysphagia from unresectable esophageal carcinoma. However, the problem of stent migration persists. Although most migrated stents have a benign outcome, complications do occur. Rare reports of intestinal obstruction have been confined to the stiff plastic and stainless-steel stents. We report the first case of intestinal obstruction secondary to the pliable Nitinol SEMS (Ultraflex) migration.
Ho
H S S
HS
Department of General Surgery, Singapore General Hospital, Outram Road, Singapore 169608, Singapore.
Ong
H S
HS
D000230:Adenocarcinoma / Q000150:complications / Q000188:drug therapy / Q000556:secondary / Q000601:surgery; D000368:Aged; D000497:Alloys; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D003131:Combined Modality Therapy; D003680:Deglutition Disorders / Q000209:etiology / Q000601:surgery; D020878:Device Removal; D015251:Epirubicin / Q000008:administration & dosage; D004867:Equipment Design; D004938:Esophageal Neoplasms / Q000150:complications / Q000188:drug therapy / Q000601:surgery; D005472:Fluorouracil / Q000008:administration & dosage; D005548:Foreign-Body Migration / Q000150:complications*; D006801:Humans; D007077:Ileal Diseases / Q000209:etiology* / Q000601:surgery; D007415:Intestinal Obstruction / Q000209:etiology* / Q000601:surgery; D007813:Laparotomy; D008113:Liver Neoplasms / Q000188:drug therapy / Q000556:secondary; D008297:Male; D011183:Postoperative Complications / Q000209:etiology / Q000601:surgery; D015607:Stents / Q000009:adverse effects*
D000497:Alloys; C013616:nitinol; D015251:Epirubicin; D005472:Fluorouracil