title: Secondary stent-in-stent self-expanding metallic stent placement for early stent occlusion due to mucosal oedema in the gastrojejunal anastomosis after palliative subtotal gastrectomy for locally advanced gastric cancer.
abstract: Herein, we report a case of early in-stent occlusion due to the ingrowth of soft oedematous mucosal tissue through the lattices of an uncovered stent, which was used for palliation of a postoperative gastrojejunal anastomotic stricture. The in-stent occulsion was treated with the deployment of a second stent, which was covered, within the first stent. This led to successful resolution of the occlusion.
authors.affiliation: Department of General Surgery, Changi General Hospital, 2 Simei Street 3, Singapore 529889. chokaikyong@gmail.com.
authors.forename: Aik-Yong
authors.initials: AY
authors.lastname: Chok
authors.affiliation: Department of General Surgery, Changi General Hospital, 2 Simei Street 3, Singapore 529889. chokaikyong@gmail.com.
authors.forename: Ye-Xin
authors.initials: YX
authors.lastname: Koh
authors.affiliation: Department of General Surgery, Changi General Hospital, 2 Simei Street 3, Singapore 529889. chokaikyong@gmail.com.
authors.forename: June
authors.initials: J
authors.lastname: Lee
authors.affiliation: Herein, we report a case of early in-stent occlusion due to the ingrowth of soft oedematous mucosal tissue through the lattices of an uncovered stent, which was used for palliation of a postoperative gastrojejunal anastomotic stricture. The in-stent occulsion was treated with the deployment of a second stent, which was covered, within the first stent. This led to successful resolution of the occlusion.
authors.forename: Andrew Siang-Yih
authors.initials: AS
authors.lastname: Wong
mesh_terms: D000714:Anastomosis, Surgical / Q000379:methods*; D004487:Edema / Q000473:pathology*; D005743:Gastrectomy / Q000379:methods*; D006801:Humans; D007583:Jejunum / Q000601:surgery; D008297:Male; D008670:Metals; D008875:Middle Aged; D010166:Palliative Care; D011183:Postoperative Complications / Q000601:surgery; D015607:Stents; D013270:Stomach / Q000601:surgery; D013274:Stomach Neoplasms / Q000473:pathology / Q000601:surgery*; D016896:Treatment Outcome
chemical_list: D008670:Metals