title: Esophagojejunal anastomosis fistula, distal esophageal stenosis, and metalic stent migration after total gastrectomy.
abstract: Esophagojejunal anastomosis fistula is the main complication after a total gastrectomy. To avoid a complex procedure on friable inflamed perianastomotic tissues, a coated self-expandable stent is mounted at the site of the anastomotic leak. A complication of stenting procedure is that it might lead to distal esophageal stenosis. However, another frequently encountered complication of stenting is stent migration, which is treated nonsurgically. When the migrated stent creates life threatening complications, surgical removal is indicated. We present a case of a 67-year-old male patient who was treated at our facility for a gastric adenocarcinoma which developed, postoperatively, an esophagojejunostomy fistula, a distal esophageal stenosis, and a metallic coated self-expandable stent migration. To our knowledge, this is the first reported case of an esophagojejunostomy fistula combined with a distal esophageal stenosis as well as with a metallic coated self-expandable stent migration.
authors.affiliation: Department of Surgery, Regional Institute of Gastroenterology and Hepatology "Prof. Dr. Octavian Fodor", Croitorilor Street, No. 19-21, 400162 Cluj-Napoca, Romania ; 3rd Surgical Clinic, Iuliu Hatieganu University of Medicine and Pharmacy, Croitorilor Street, No. 19-21, 400162 Cluj-Napoca, Romania.
authors.forename: Nadim
authors.initials: N
authors.lastname: Al Hajjar
authors.affiliation: Department of Surgery, Regional Institute of Gastroenterology and Hepatology "Prof. Dr. Octavian Fodor", Croitorilor Street, No. 19-21, 400162 Cluj-Napoca, Romania ; Training and Research Center "Prof. Dr. Sergiu Duca", Petre Ispirescu Street, No. 1, 400090 Cluj-Napoca, Romania.
authors.forename: Calin
authors.initials: C
authors.lastname: Popa
authors.affiliation: Training and Research Center "Prof. Dr. Sergiu Duca", Petre Ispirescu Street, No. 1, 400090 Cluj-Napoca, Romania ; Department of Oncological Surgery, The Oncology Institute "Prof. Dr. Ion Chiricuţă" Republicii Street, No. 34-36, 400015 Cluj-Napoca, Romania.
authors.forename: Tareg
authors.initials: T
authors.lastname: Al-Momani
authors.affiliation: Department of Intensive Care Unit, Regional Institute of Gastroenterology and Hepatology "Prof. Dr. Octavian Fodor", Croitorilor Street, No. 19-21, 400162 Cluj-Napoca, Romania ; 1st Anesthesiology and Critical Care Clinic, Iuliu Hatieganu University of Medicine and Pharmacy, Croitorilor Street, No. 19-21, 400162 Cluj-Napoca, Romania.
authors.forename: Simona
authors.initials: S
authors.lastname: Margarit
authors.affiliation: Department of Surgery, Regional Institute of Gastroenterology and Hepatology "Prof. Dr. Octavian Fodor", Croitorilor Street, No. 19-21, 400162 Cluj-Napoca, Romania ; 3rd Surgical Clinic, Iuliu Hatieganu University of Medicine and Pharmacy, Croitorilor Street, No. 19-21, 400162 Cluj-Napoca, Romania.
authors.forename: Florin
authors.initials: F
authors.lastname: Graur
authors.affiliation: Department of Gastroenterology, Regional Institute of Gastroenterology and Hepatology "Prof. Dr. Octavian Fodor", Croitorilor Street, No. 19-21, 400162 Cluj-Napoca, Romania ; 3rd Medical Clinic, Iuliu Hatieganu University of Medicine and Pharmacy, Croitorilor Street, No. 19-21, 400162 Cluj-Napoca, Romania.
authors.forename: Marcel
authors.initials: M
authors.lastname: Tantau