Delayed Migration of a WallFlex Enteral Stent Resulting in Jejunal Perforation
Enteral stents are increasingly utilized to palliate malignant gastrointestinal obstruction; however, they can be associated with significant complications. We describe an unusual case of a 67-year-old male with gastric adenocarcinoma who underwent placement of a WallFlex metallic enteral stent to r...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2013-01-01
|
| Series: | Case Reports in Gastrointestinal Medicine |
| Online Access: | http://dx.doi.org/10.1155/2013/652597 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832563579911405568 |
|---|---|
| author | Phillip S. Ge Rabindra R. Watson David C. Chen V. Raman Muthusamy |
| author_facet | Phillip S. Ge Rabindra R. Watson David C. Chen V. Raman Muthusamy |
| author_sort | Phillip S. Ge |
| collection | DOAJ |
| description | Enteral stents are increasingly utilized to palliate malignant gastrointestinal obstruction; however, they can be associated with significant complications. We describe an unusual case of a 67-year-old male with gastric adenocarcinoma who underwent placement of a WallFlex metallic enteral stent to relieve a malignant gastric outlet obstruction. Four months later, while actively undergoing chemotherapy, he developed acute abdominal pain and was found to have delayed stent migration and jejunal perforation. He required emergent surgical resection of the perforated segment of jejunum. Delayed migration of the WallFlex enteral stent with subsequent visceral perforation has yet to be reported in the literature. Chemotherapy after stent placement has been associated with an increase in maintenance of stent patency; however, shrinkage of the local tumor by chemoradiation may increase the risk of stent migration. Care should be taken in placing enteral stents in patients undergoing continued treatment of their malignancy, as delayed migration of even uncovered stents may occur. |
| format | Article |
| id | doaj-art-8f3535cd63224c669529e6f2bd4e8f6a |
| institution | Kabale University |
| issn | 2090-6528 2090-6536 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Gastrointestinal Medicine |
| spelling | doaj-art-8f3535cd63224c669529e6f2bd4e8f6a2025-02-03T01:13:12ZengWileyCase Reports in Gastrointestinal Medicine2090-65282090-65362013-01-01201310.1155/2013/652597652597Delayed Migration of a WallFlex Enteral Stent Resulting in Jejunal PerforationPhillip S. Ge0Rabindra R. Watson1David C. Chen2V. Raman Muthusamy3Department of Medicine, UCLA Medical Center, Los Angeles, CA 90095, USADivision of Digestive Diseases, UCLA Medical Center, Los Angeles, CA 90095, USADepartment of Surgery, UCLA Medical Center, Los Angeles, CA 90095, USADivision of Digestive Diseases, UCLA Medical Center, Los Angeles, CA 90095, USAEnteral stents are increasingly utilized to palliate malignant gastrointestinal obstruction; however, they can be associated with significant complications. We describe an unusual case of a 67-year-old male with gastric adenocarcinoma who underwent placement of a WallFlex metallic enteral stent to relieve a malignant gastric outlet obstruction. Four months later, while actively undergoing chemotherapy, he developed acute abdominal pain and was found to have delayed stent migration and jejunal perforation. He required emergent surgical resection of the perforated segment of jejunum. Delayed migration of the WallFlex enteral stent with subsequent visceral perforation has yet to be reported in the literature. Chemotherapy after stent placement has been associated with an increase in maintenance of stent patency; however, shrinkage of the local tumor by chemoradiation may increase the risk of stent migration. Care should be taken in placing enteral stents in patients undergoing continued treatment of their malignancy, as delayed migration of even uncovered stents may occur.http://dx.doi.org/10.1155/2013/652597 |
| spellingShingle | Phillip S. Ge Rabindra R. Watson David C. Chen V. Raman Muthusamy Delayed Migration of a WallFlex Enteral Stent Resulting in Jejunal Perforation Case Reports in Gastrointestinal Medicine |
| title | Delayed Migration of a WallFlex Enteral Stent Resulting in Jejunal Perforation |
| title_full | Delayed Migration of a WallFlex Enteral Stent Resulting in Jejunal Perforation |
| title_fullStr | Delayed Migration of a WallFlex Enteral Stent Resulting in Jejunal Perforation |
| title_full_unstemmed | Delayed Migration of a WallFlex Enteral Stent Resulting in Jejunal Perforation |
| title_short | Delayed Migration of a WallFlex Enteral Stent Resulting in Jejunal Perforation |
| title_sort | delayed migration of a wallflex enteral stent resulting in jejunal perforation |
| url | http://dx.doi.org/10.1155/2013/652597 |
| work_keys_str_mv | AT phillipsge delayedmigrationofawallflexenteralstentresultinginjejunalperforation AT rabindrarwatson delayedmigrationofawallflexenteralstentresultinginjejunalperforation AT davidcchen delayedmigrationofawallflexenteralstentresultinginjejunalperforation AT vramanmuthusamy delayedmigrationofawallflexenteralstentresultinginjejunalperforation |