title: 'Stent in a stent'--an alternative technique for removing partially covered stents following sleeve gastrectomy complications.
abstract: Endoscopic stenting is a relatively new technique for the treatment of post sleeve gastrectomy complications. Partially covered stents are used in this method to minimise the risk of migration but they are associated with difficulties with removal. Patients requiring emergency stenting following sleeve gastrectomy underwent insertion of a partially covered metallic stent. One month later, if the stent was not easily removable, a fully covered overlapping stent was inserted and the patient was readmitted 2 weeks later for removal of both stents. Four patients required stenting following sleeve gastrectomy leaks, and one patient required stenting for a stricture. In these cases, a 'stent in a stent' technique was used for removal. This technique allows the safe removal of partially covered stents inserted following sleeve gastrectomy complications.
authors.affiliation: Department of Upper Gastrointestinal Surgery, St George's Healthcare NHS Trust, Blackshaw Road, London, UK, SW17 0QT, Georgios.Vasilikostas@stgeorges.nhs.uk.
authors.forename: Georgios
authors.initials: G
authors.lastname: Vasilikostas
authors.forename: Nimalan
authors.initials: N
authors.lastname: Sanmugalingam
authors.forename: Omar
authors.initials: O
authors.lastname: Khan
authors.forename: Marcus
authors.initials: M
authors.lastname: Reddy
authors.forename: Chris
authors.initials: C
authors.lastname: Groves
authors.forename: Andrew
authors.initials: A
authors.lastname: Wan
mesh_terms: D000328:Adult; D057868:Anastomotic Leak / Q000601:surgery*; D003251:Constriction, Pathologic; D020878:Device Removal / Q000379:methods*; D005260:Female; D005548:Foreign-Body Migration; D005743:Gastrectomy / Q000009:adverse effects*; D005773:Gastroscopy; D006801:Humans; D008297:Male; D008875:Middle Aged; D015607:Stents / Q000009:adverse effects