Endoscopic laser fragmentation and removal of a nonremovable metal esophageal stent for persistent dysphagia: a technical note.
Surg Endosc
; 26(6): 1791-3, 2012 Jun.
Article
em En
| MEDLINE
| ID: mdl-22302532
ABSTRACT
BACKGROUND:
Self-expanding metal stents are widely used in the palliation of esophageal diseases (Todd, N Engl J Med 344(22)1681-1687, 2001). The majority are inserted for end-stage malignancy and are not designed to be removed.METHODS:
We report the first recorded successful endoscopic removal of an "irremovable" stent by laser fragmentation after its placement became redundant. A 72-year-old man who had persistent dysphagia after esophageal stent insertion for Boerhaave's syndrome had his stent removed by Nd-YAG laser fragmentation at staged endoscopies.RESULTS:
The stent was removed in its entirety and the patients' symptoms resolved.CONCLUSIONS:
We describe a successful technique for the removal of a nonretrievable stent using laser fracture and endoscopic retrieval. This method of stent removal has not been previously reported.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Transtornos de Deglutição
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Stents
/
Esofagoscopia
/
Litotripsia a Laser
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Perfuração Esofágica
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Doenças do Mediastino
Idioma:
En
Ano de publicação:
2012
Tipo de documento:
Article