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[Stenosis and iatrogenic perforation as complication following long-term stenting of the oesophagus].

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.
AuthorsM T Mogl, W Veltzke-Schlieker, D Seehofer
JournalZentralblatt fur Chirurgie (Zentralbl Chir) Vol. 136 Issue 1 Pg. 79-81 (Feb 2011) ISSN: 1438-9592 [Electronic] Germany
Vernacular TitleNarbige Stenose und iatrogene Perforation als -Komplikation nach Langzeitstenting des Ösophagus.
PMID21264811 (Publication Type: Case Reports, English Abstract, Journal Article)
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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