[Stenosis and iatrogenic perforation as complication following long-term stenting of the oesophagus].
Anastomotic leaks after oesophagojejunostomy usually are treated by endoluminal stenting with self-expandable metal or plastic stents. Here we present a patient with more than 4 years of oesophageal stenting for anastomotic leakage after gastrectomy. During the attempted removal of the stent he experienced a perforation of the jejunum. Emergency surgery with complete resection of the stent and transhiatal oesophagojejunostomy was performed. Generally, early removal of oesophageal stents 4-6 weeks after implantation is recommended, as later attempts often fail and may lead to extensive surgery.
Charité Campus Virchow-Klinikum, Klinik für Allgemein-, Visceral- und Transplantationschirurgie, Berlin, Deutschland. martina.mogl@charite.de
M T
MT
Mogl
W
W
Veltzke-Schlieker
D
D
Seehofer
D000368:Aged; D000713:Anastomosis, Roux-en-Y; D057868:Anastomotic Leak / Q000628:therapy*; D020878:Device Removal; D004939:Esophageal Perforation / Q000209:etiology* / Q000601:surgery; D004940:Esophageal Stenosis / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D004945:Esophagoscopy; D004947:Esophagus / Q000601:surgery*; D005743:Gastrectomy; D006801:Humans; D007049:Iatrogenic Disease; D007582:Jejunostomy; D008297:Male; D011183:Postoperative Complications / Q000628:therapy*; D012086:Reoperation; D015607:Stents / Q000009:adverse effects*; D013274:Stomach Neoplasms / Q000601:surgery*