Esophagojejunal Anastomosis Fistula, Distal Esophageal Stenosis, and Metalic Stent Migration after Total Gastrectomy
Esophagojejunal anastomosis fistula is the main complication after a total gastrectomy. To avoid a complex procedure on friable inflamed perianastomotic tissues, a coated self-expandable stent is mounted at the site of the anastomotic leak. A complication of stenting procedure is that it might lead...
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2015/839057 |
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| author | Nadim Al Hajjar Calin Popa Tareg Al-Momani Simona Margarit Florin Graur Marcel Tantau |
| author_facet | Nadim Al Hajjar Calin Popa Tareg Al-Momani Simona Margarit Florin Graur Marcel Tantau |
| author_sort | Nadim Al Hajjar |
| collection | DOAJ |
| description | Esophagojejunal anastomosis fistula is the main complication after a total gastrectomy. To avoid a complex procedure on friable inflamed perianastomotic tissues, a coated self-expandable stent is mounted at the site of the anastomotic leak. A complication of stenting procedure is that it might lead to distal esophageal stenosis. However, another frequently encountered complication of stenting is stent migration, which is treated nonsurgically. When the migrated stent creates life threatening complications, surgical removal is indicated. We present a case of a 67-year-old male patient who was treated at our facility for a gastric adenocarcinoma which developed, postoperatively, an esophagojejunostomy fistula, a distal esophageal stenosis, and a metallic coated self-expandable stent migration. To our knowledge, this is the first reported case of an esophagojejunostomy fistula combined with a distal esophageal stenosis as well as with a metallic coated self-expandable stent migration. |
| format | Article |
| id | doaj-art-8388dd6649454207a1c87540553a55a6 |
| institution | Kabale University |
| issn | 2090-6900 2090-6919 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-8388dd6649454207a1c87540553a55a62025-02-03T06:11:35ZengWileyCase Reports in Surgery2090-69002090-69192015-01-01201510.1155/2015/839057839057Esophagojejunal Anastomosis Fistula, Distal Esophageal Stenosis, and Metalic Stent Migration after Total GastrectomyNadim Al Hajjar0Calin Popa1Tareg Al-Momani2Simona Margarit3Florin Graur4Marcel Tantau5Department of Surgery, Regional Institute of Gastroenterology and Hepatology “Prof. Dr. Octavian Fodor”, Croitorilor Street, No. 19-21, 400162 Cluj-Napoca, RomaniaDepartment of Surgery, Regional Institute of Gastroenterology and Hepatology “Prof. Dr. Octavian Fodor”, Croitorilor Street, No. 19-21, 400162 Cluj-Napoca, RomaniaTraining and Research Center “Prof. Dr. Sergiu Duca”, Petre Ispirescu Street, No. 1, 400090 Cluj-Napoca, RomaniaDepartment of Intensive Care Unit, Regional Institute of Gastroenterology and Hepatology “Prof. Dr. Octavian Fodor”, Croitorilor Street, No. 19-21, 400162 Cluj-Napoca, RomaniaDepartment of Surgery, Regional Institute of Gastroenterology and Hepatology “Prof. Dr. Octavian Fodor”, Croitorilor Street, No. 19-21, 400162 Cluj-Napoca, RomaniaDepartment of Gastroenterology, Regional Institute of Gastroenterology and Hepatology “Prof. Dr. Octavian Fodor”, Croitorilor Street, No. 19-21, 400162 Cluj-Napoca, RomaniaEsophagojejunal anastomosis fistula is the main complication after a total gastrectomy. To avoid a complex procedure on friable inflamed perianastomotic tissues, a coated self-expandable stent is mounted at the site of the anastomotic leak. A complication of stenting procedure is that it might lead to distal esophageal stenosis. However, another frequently encountered complication of stenting is stent migration, which is treated nonsurgically. When the migrated stent creates life threatening complications, surgical removal is indicated. We present a case of a 67-year-old male patient who was treated at our facility for a gastric adenocarcinoma which developed, postoperatively, an esophagojejunostomy fistula, a distal esophageal stenosis, and a metallic coated self-expandable stent migration. To our knowledge, this is the first reported case of an esophagojejunostomy fistula combined with a distal esophageal stenosis as well as with a metallic coated self-expandable stent migration.http://dx.doi.org/10.1155/2015/839057 |
| spellingShingle | Nadim Al Hajjar Calin Popa Tareg Al-Momani Simona Margarit Florin Graur Marcel Tantau Esophagojejunal Anastomosis Fistula, Distal Esophageal Stenosis, and Metalic Stent Migration after Total Gastrectomy Case Reports in Surgery |
| title | Esophagojejunal Anastomosis Fistula, Distal Esophageal Stenosis, and Metalic Stent Migration after Total Gastrectomy |
| title_full | Esophagojejunal Anastomosis Fistula, Distal Esophageal Stenosis, and Metalic Stent Migration after Total Gastrectomy |
| title_fullStr | Esophagojejunal Anastomosis Fistula, Distal Esophageal Stenosis, and Metalic Stent Migration after Total Gastrectomy |
| title_full_unstemmed | Esophagojejunal Anastomosis Fistula, Distal Esophageal Stenosis, and Metalic Stent Migration after Total Gastrectomy |
| title_short | Esophagojejunal Anastomosis Fistula, Distal Esophageal Stenosis, and Metalic Stent Migration after Total Gastrectomy |
| title_sort | esophagojejunal anastomosis fistula distal esophageal stenosis and metalic stent migration after total gastrectomy |
| url | http://dx.doi.org/10.1155/2015/839057 |
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