Gastric Perforation Encountered during Duodenal Stent Insertion

Area of Science:

• Gastroenterology
• Oncology
• Surgical Innovation

Background:

• Advanced pancreatic cancer frequently causes gastric outlet obstruction, complicating endoscopic interventions.
• Severe strictures impede guidewire and air passage, increasing risks during procedures.
• A distended stomach is vulnerable to stress and complications like gastric perforation.

Observation:

• This case report details a gastric tear perforation during duodenal stent insertion.
• The patient presented with gastric outlet obstruction due to advanced pancreatic cancer.
• The perforation occurred in the context of a challenging endoscopic procedure.

Findings:

• Gastric perforation during duodenal stenting is a rare but potentially fatal complication.
• Endoscopic management can be successful if the perforation is identified promptly.
• The case highlights the risks associated with managing severe gastric outlet obstruction.

Implications:

• Awareness of gastric perforation risk is essential for endoscopists managing these patients.
• Early recognition and management strategies are critical for improving patient outcomes.
• This case underscores the need for careful technique and vigilance during endoscopic stenting for gastric outlet obstruction.