Endoscopic placement of esophageal Self-Expandable Metal Stents (SEMS) is a therapeutic option for post-surgical esophageal leaks. Partially covered SEMS are mainly designed for malignant esophageal strictures, but are used off-label to close post-surgical leaks due to their lower migration rate than fully covered SEMS, and better adherence to the esophageal wall. Partially covered esophageal SEMS can achieve post-surgical fistula healing, but their removal is difficult due to tissue ingrowth through the uncovered part. A challenging case of a difficult removal of a partially covered esophageal SEMS (remove the indefinite article) is (below) presented. © 2013 The Authors.
Boskoski, I., Tringali, A., Familiari, P., Bove, V., Perri, V., Costamagna, G., Endoscopic removal of an esophageal stent after diffuse hyperplastic tissue ingrowth, <<VIDEO JOURNAL AND ENCYCLOPEDIA OF GI ENDOSCOPY>>, 2014; 1 (3-4): 619-621. [doi:10.1016/j.vjgien.2013.04.001] [https://hdl.handle.net/10807/221952]
Endoscopic removal of an esophageal stent after diffuse hyperplastic tissue ingrowth
Boskoski, Ivo;Tringali, Andrea;Familiari, Pietro;Bove, Vincenzo;Perri, Vincenzo;Costamagna, Guido
2014
Abstract
Endoscopic placement of esophageal Self-Expandable Metal Stents (SEMS) is a therapeutic option for post-surgical esophageal leaks. Partially covered SEMS are mainly designed for malignant esophageal strictures, but are used off-label to close post-surgical leaks due to their lower migration rate than fully covered SEMS, and better adherence to the esophageal wall. Partially covered esophageal SEMS can achieve post-surgical fistula healing, but their removal is difficult due to tissue ingrowth through the uncovered part. A challenging case of a difficult removal of a partially covered esophageal SEMS (remove the indefinite article) is (below) presented. © 2013 The Authors.
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