Distally migrated esophageal self-expanding metal stents: wait and see or remove?

Abstract:

BACKGROUND:Extraction of a migrated esophageal stent may be extremely difficult with a substantial risk of complications including esophageal perforation and hemorrhage. METHODS:Retrospectively 242 patients were evaluated who underwent implantation of self-expanding metal stents (SEMS) and 13 (5.4%) were identified with distal stent migration. In all cases of stent dislocation into the stomach, extraction of the stent was not attempted and a new stent was inserted. RESULTS:Twelve patients had dysphagia. One patient underwent surgery because of stent impaction in the colon, 3 had unrecognized passage of the stent per rectum, and 9 had evidence of the stent into the stomach. Further severe complications were not observed in any patient and all stents remained into the stomach. CONCLUSION:Complications arising from migrated esophageal stents are uncommon. Further studies are warranted to determine which patients with migrated SEMS warrant stent retrieval.

journal_name

Gastrointest Endosc

authors

De Palma GD,Iovino P,Catanzano C

doi

10.1067/mge.2001.110731

keywords:

subject

Has Abstract

pub_date

2001-01-01 00:00:00

pages

96-8

issue

1

eissn

0016-5107

issn

1097-6779

pii

S0016-5107(01)79727-1

journal_volume

53

pub_type

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