Endoscopic laser fragmentation and removal of a nonremovable metal esophageal stent for persistent dysphagia: a technical note |
| |
Authors: | Ross S Coomber Pranav H Patel Anubhav Dhir Jeremy I Livingstone |
| |
Institution: | Department of Upper GI Surgery, West Herts NHS Trust, Watford General Hospital, Vicarage Road, Watford WD18 0HB, UK. rosscoomber@hotmail.com |
| |
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. |
| |
Keywords: | |
本文献已被 PubMed SpringerLink 等数据库收录! |
|