[Stenosis and iatrogenic perforation as complication following long-term stenting of the oesophagus]. / Narbige Stenose und iatrogene Perforation als -Komplikation nach Langzeitstenting des Ösophagus.

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.