Abstract |
Anastomotic leaks after oesophagojejunostomy usually are treated by endoluminal stenting with self-expandable metal or plastic stents. Here we present a patient with more than 4 years of oesophageal stenting for anastomotic leakage after gastrectomy. During the attempted removal of the stent he experienced a perforation of the jejunum. Emergency surgery with complete resection of the stent and transhiatal oesophagojejunostomy was performed. Generally, early removal of oesophageal stents 4-6 weeks after implantation is recommended, as later attempts often fail and may lead to extensive surgery.
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Authors | M T Mogl, W Veltzke-Schlieker, D Seehofer |
Journal | Zentralblatt fur Chirurgie
(Zentralbl Chir)
Vol. 136
Issue 1
Pg. 79-81
(Feb 2011)
ISSN: 1438-9592 [Electronic] Germany |
Vernacular Title | Narbige Stenose und iatrogene Perforation als -Komplikation nach Langzeitstenting des Ösophagus. |
PMID | 21264811
(Publication Type: Case Reports, English Abstract, Journal Article)
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Copyright | © Georg Thieme Verlag Stuttgart ˙ New York. |
Topics |
- Aged
- Anastomosis, Roux-en-Y
- Anastomotic Leak
(therapy)
- Device Removal
- Esophageal Perforation
(etiology, surgery)
- Esophageal Stenosis
(diagnosis, etiology, surgery)
- Esophagoscopy
- Esophagus
(surgery)
- Gastrectomy
- Humans
- Iatrogenic Disease
- Jejunostomy
- Male
- Postoperative Complications
(therapy)
- Reoperation
- Stents
(adverse effects)
- Stomach Neoplasms
(surgery)
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