scholarly journals Removal of Migrated Esophageal Stents in the Stomach Under the Guidance of Fluoroscopy: a Single-center Retrospective Study

2021 ◽  
Author(s):  
Kewei Ren ◽  
Haitao Liu ◽  
Zihe Zhou ◽  
Yahua Li ◽  
Huibin Lu ◽  
...  
Keyword(s):  
Guide Wire ◽  
Symptomatic Treatment ◽  
Metal Stents ◽  
Safe Procedure ◽  
Endoscopic Removal ◽  
Esophageal Stents ◽  
Stent Removal ◽  
Removal Time ◽  
Esophageal Bleeding ◽  
Gooseneck Snare

Abstract Background: Migrated esophageal self-expandable metal stents (SEMSs) increase the risk of bowel obstruction or perforation. The endoscopic removal of migrated stents is extremely difficult due to the inability to observe the distal end of the stent during retrieval. Here, we report our experience removing migrated esophageal stents in the stomach under the guidance of fluoroscopy.Material and methods: The clinical data of patients with esophageal stents that migrated to the stomach between January 2016 and March 2020 were analyzed retrospectively. A total of 27 patients (9 females and 18 males) were included in this study. Three methods of retrieval were considered: direct removal via a fixed string, direct removal via a retrieval hook, and retrieval via guide wire and gooseneck snare.Results: A total of 28 migrated esophageal stents in the stomachs of 27 patients were successfully removed under the guidance of fluoroscopy by the three methods mentioned above: 10 cases of direct removal via a fixed string, 14 cases of direct removal via a retrieval hook, and 3 cases of retrieval via a guide wire. The stent removal time was 18 (7-60) minutes. During the operation, one patient had a small amount of esophageal bleeding that was cured after symptomatic treatment, and one patient had a residual fracture stent wire that was removed under endoscopy.Conclusion: The removal of migrated esophageal stents in the stomach under the guidance of fluoroscopy is a feasible and safe procedure.

Fluoroscopic removal of retrievable self-expandable metal stents in patients with malignant oesophageal strictures: Experience with a non-endoscopic removal system

2016 ◽  
Vol 27 (3) ◽  
pp. 1257-1266 ◽  
Author(s):  
Pyeong Hwa Kim ◽  
Ho-Young Song ◽  
Jung-Hoon Park ◽  
Wei-Zhong Zhou ◽  
Han Kyu Na ◽  
...  
Keyword(s):  
Metal Stents ◽  
Endoscopic Removal ◽  
Removal System

scholarly journals Profile of foreign body ingestion and outcomes of endoscopic management in pediatric population

2017 ◽  
Vol 08 (01) ◽  
pp. 17-23
Author(s):  
Avinash Bhat Balekuduru ◽  
Bhuvan Shetty ◽  
Amit Dutta ◽  
Satyaprakash Bonthala Subbaraj
Keyword(s):  
Foreign Body ◽  
Pediatric Population ◽  
Flexible Endoscopy ◽  
Endoscopic Management ◽  
Surgical Removal ◽  
Safe Procedure ◽  
Endoscopic Removal ◽  
Endoscopic Techniques ◽  
Nonsurgical Management ◽  
Gastrointestinal Emergency

Abstract Background: Foreign body (FB) ingestion is a frequent gastrointestinal emergency in pediatric population. Improvement in endoscopic techniques and equipment enables nonsurgical management in most situations. Recent data from India on pediatric FB ingestion have been lacking. Aim: The aim of this study was to assess the profile and outcome after endoscopic management of patients <18 years of age presenting with FB ingestion. Patients and Methods: Records of all the children with FB ingestion who had undergone endoscopic removal at our institution during 5 years (2011–2016) were assessed retrospectively. The nature of FB ingested, and success and complication of endoscopic therapy were analyzed. Results: There were 150 pediatric endoscopies during the study period. Of this, 120 (80%) were for removal of ingested FB. Most common (MC) FB was coin (69%). The retrieved FBs were 83 coins, 13 batteries, 5 pins, 4 clips, 2 each of anklets, keys, marbles, and seeds, one each of spoon, blade, spanner, peanut, toe ring, and a pencil. One had trichobezoar. Esophagus was the MC site of location of FB (85/120). FB removal was successful by flexible endoscopy in 97.1%. Four (0.03%) cases were referred for rigid endoscopic/surgical removal by otolaryngologists/ pediatric surgeon. Except for one child developed bronchopneumonia, there was no morbidity or mortality in the study. Conclusion: Endoscopic removal of FB is a safe procedure with excellent outcomes in a specialized gastroenterology unit.

scholarly journals Fully-covered metal stents with endoscopic suturing vs. partially-covered metal stents for benign upper gastrointestinal diseases: a comparative study

2018 ◽  
Vol 06 (02) ◽  
pp. E217-E223 ◽  
Author(s):  
Saowanee Ngamruengphong ◽  
Reem Sharaiha ◽  
Amrita Sethi ◽  
Ali Siddiqui ◽  
Christopher DiMaio ◽  
...  
Keyword(s):  
Tertiary Care ◽  
Stent Migration ◽  
Metal Stents ◽  
Stricture Formation ◽  
Endoscopic Suturing ◽  
Stent Removal ◽  
Gastrointestinal Conditions ◽  
Significant Difference ◽  
Stent Fixation ◽  
Upper Gastrointestinal

Abstract Background and study aims Self-expandable metallic stents (SEMS) have been increasingly used in benign conditions (e. g. strictures, fistulas, leaks, and perforations). Fully covered SEMS (FSEMS) were introduced to avoid undesirable consequences of partially covered SEMS (PSEMS), but come with higher risk of stent migration. Endoscopic suturing (ES) for stent fixation has been shown to reduce migration of FSEMS. Our aim was to compare the outcomes of FSEMS with ES (FS/ES) versus PSEMS in patients with benign upper gastrointestinal conditions. Patients and methods We retrospectively identified all patients who underwent stent placement for benign gastrointestinal conditions at seven US tertiary-care centers. Patients were divided into two groups: FSEMS with ES (FS/ES group) and PSEMS (PSEMS group). Clinical outcomes between the two groups were compared. Results A total of 74 (FS/ES 46, PSEMS 28) patients were included. On multivariable analysis, there was no significant difference in rate of stent migration between FS/ES (43 %) and PSEMS (15 %) (adjusted odds ratio 0.56; 95 % CI 0.15 – 2.00). Clinical success was similar [68 % vs. 64 %; P = 0.81]. Rate of adverse events (AEs) was higher in PSEMS group [13 (46 %) vs. 10 (21 %); P = 0.03). Difficult stent removal was higher in the PSEMS group (n = 5;17 %) vs. 0 % in the FS/ES group; P = 0.005. Conclusions The proportion of stent migration of FS/ES and PSEMS are similar. Rates of other stent-related AEs were higher in the PSEMS group. PSEMS was associated with tissue ingrowth or overgrowth leading to difficult stent removal, and secondary stricture formation. Thus, FSEMS with ES for stent fixation may be the preferred modality over PSEMS for the treatment of benign upper gastrointestinal conditions.

Endoscopic Removal of Oesophageal Self Expanding Metal Stents - Is It Safe and Feasible?

2008 ◽  
Vol 67 (5) ◽  
pp. AB191
Author(s):  
Michael Swan ◽  
David Devonshire ◽  
William Sievert
Keyword(s):  
Metal Stents ◽  
Endoscopic Removal ◽  
Self Expanding Metal Stents

scholarly journals Endoscopic removal of a piece of retained pancreatic stent with a novel new technique: turned guide-wire looping method

Endoscopy ◽  
2012 ◽  
Vol 44 (S 02) ◽  
pp. E401-E401
Author(s):  
N. Takahara ◽  
H. Isayama ◽  
N. Sasahira ◽  
T. Hamada ◽  
R. Uchino ◽  
...  
Keyword(s):  
Guide Wire ◽  
New Technique ◽  
Pancreatic Stent ◽  
Endoscopic Removal

scholarly journals Successful endoscopic removal of three embedded esophageal self-expanding metal stents

2017 ◽  
Vol 9 (9) ◽  
pp. 494
Author(s):  
Xiao-Qin Liu ◽  
Min Zhou ◽  
Wen-Xin Shi ◽  
Yi-Ying Qi ◽  
Hui Liu ◽  
...  
Keyword(s):  
Metal Stents ◽  
Endoscopic Removal ◽  
Self Expanding Metal Stents

scholarly journals Combined Approach of Cryoablation and Stent-In-Stent Technique for Removal of an Embedded Esophageal Stent

2018 ◽  
Vol 2018 ◽  
pp. 1-4
Author(s):  
Madhuri Chandnani ◽  
Jonah Cohen ◽  
Tyler M. Berzin
Keyword(s):  
Tissue Reaction ◽  
Esophageal Stent ◽  
Esophageal Wall ◽  
Metal Stents ◽  
Difficult Case ◽  
Mucosal Tissue ◽  
Combined Approach ◽  
Esophageal Stents ◽  
First Case ◽  
Esophageal Strictures

Self-expanding removable stents are used for the treatment of esophageal strictures. Partially covered metal stents become embedded in the esophageal wall due to mucosal tissue reaction providing good anchorage. This can also lead to extreme difficulty in the removal of such stents. Several different individual techniques have been used in literature for removal of these esophageal stents. Ours is the first case using a combination of cryoablation and stent-in-stent technique for removal of an extremely difficult case of embedded esophageal stent.

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