Stent-induced esophageal perforation: treatment by means of placing a second stent after removal of the original stent.
A case of esophageal perforation caused by a retrievable covered stent is presented. The distal end of the stent was protruding into the mediastinum, which made it impossible to negotiate a guidewire through the stent into the distal esophagus. The stent was successfully removed with use of a stent retrieval set, and esophageal perforation was treated with a second, covered stent with a good result. Fatality associated with this complication might be prevented by virtue of the retrievability of the stent we used. This result points to the effectiveness of a retrievable stent for the palliative treatment of malignant esophageal stricture.
Jung
Gyoo-Sik
GS
Department of Diagnostic Radiology, Kosin University College of Medicine, 34, Amnam-Dong, Seo-Gu, Busan 602-702, South Korea. gsjung@medimail.co.kr
Park
Sung-Dal
SD
Cho
Young Duk
YD
D002404:Catheterization / Q000295:instrumentation* / Q000379:methods; D020878:Device Removal / Q000379:methods*; D004938:Esophageal Neoplasms / Q000150:complications / Q000175:diagnosis; D004939:Esophageal Perforation / Q000209:etiology* / Q000628:therapy; D004940:Esophageal Stenosis / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy*; D004945:Esophagoscopy / Q000379:methods; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D010166:Palliative Care / Q000379:methods; D011474:Prosthesis Design; D011475:Prosthesis Failure; D019233:Retreatment; D018570:Risk Assessment; D015607:Stents / Q000009:adverse effects*; D016896:Treatment Outcome