title: Stent migration to the ileum: a potentially lethal complication after Montgomery salivary bypass tube placement for hypopharyngeal stenosis after laryngectomy.
abstract: BACKGROUND
  Montgomery salivary bypass tubes (MSBTs) have been used for decades in the treatment of stenoses and fistulae of the hypopharynx and the cervical esophagus. Generally, MSBT use is not associated with serious complications. Only a small number of cases with severe MSBT-associated complications have been reported in the literature.
  
  
  RESULTS
  We report for the first time an MSBT migration to the ileum in a laryngectomized patient who underwent surgical pharyngocutaneous fistula closure with MSBT placement. The MSBT was removed surgically via laparotomy. The patient died 15 days later due to sepsis associated with peritonitis.
  
  
  CONCLUSIONS
  To avoid potentially lethal complications associated with MSBT migration into the intestinal tract, we recommend secure fixation of the MSBT to a nasogastric tube.
authors.affiliation: Department of Otorhinolaryngology, Friedrich-Schiller University, Jena, Germany. Thomas.Bitter@med.uni-jena.de
authors.forename: Thomas
authors.initials: T
authors.lastname: Bitter
authors.forename: Mira
authors.initials: M
authors.lastname: Pantel
authors.forename: Yves
authors.initials: Y
authors.lastname: Dittmar
authors.forename: Orlando
authors.initials: O
authors.lastname: Guntinas-Lichius
authors.forename: Claus
authors.initials: C
authors.lastname: Wittekindt
mesh_terms: D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000601:surgery*; D003251:Constriction, Pathologic; D005548:Foreign-Body Migration; D006801:Humans; D007013:Hypopharynx / Q000473:pathology* / Q000601:surgery; D007082:Ileum; D007822:Laryngeal Neoplasms / Q000601:surgery*; D007825:Laryngectomy; D008297:Male; D010608:Pharyngeal Diseases / Q000209:etiology / Q000601:surgery*; D011183:Postoperative Complications; D015607:Stents / Q000009:adverse effects*