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A simple technique to remove migrated esophageal stents
1Department of Medicine, Albert Einstein College of Medicine and Jacobi Medical Center, Bronx, New York, USA.
The American Journal of Gastroenterology
|September 11, 1998
Summary
A novel homemade snare successfully removed migrated esophageal stents in a patient with tracheoesophageal fistula. This endoscopic technique offers a solution for challenging stent removal cases.
Area of Science:
- Gastroenterology
- Interventional Endoscopy
- Surgical Innovation
Background:
- Tracheoesophageal fistulas often necessitate stent placement for management.
- Expandable covered stents are used to seal fistulas but can migrate.
- Stent migration poses a significant challenge for endoscopic retrieval.
Observation:
- A 51-year-old male patient presented with migrated esophageal stents.
- Previous attempts at stent removal were unsuccessful.
- The patient had a tracheoesophageal fistula secondary to esophageal carcinoma.
Findings:
- A custom-designed homemade snare was employed for stent retrieval.
- The snare successfully entrapped and removed both migrated stents.
- The procedure was guided by endoscopy and fluoroscopy.
Implications:
- This case demonstrates a viable endoscopic solution for managing migrated esophageal stents.
- The homemade snare offers a potentially cost-effective and adaptable tool for complex cases.
- Further research may explore the broader application of this technique in interventional gastroenterology.