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BIBTEX RIS

Endoscopic removal of migrated esophageal stent - the “grasper and pusher” method

2012; Thieme Medical Publishers (Germany); Volume: 44; Issue: S 02 Linguagem: Inglês

10.1055/s-0031-1291496

1438-8812

Bruno da Costa Martins, Massimiliano Sorbello, Felipe Alves Retes, Fábio S. Kawaguti, Marcelo Simas de Lima, Fábio Y. Hondo, G. Stelko, Ulysses Ribeiro, Fauze Maluf‐Filho,

Dysphagia Assessment and Management

A 79-year-old man with metastatic adenocarcinoma of the cardia was submitted to palliative chemotherapy and esophageal stenting for relief of dysphagia. After the fourth cycle of chemotherapy he was admitted to the emergency department complaining of dysphagia. At endoscopy a significant regression of the lesion size and migration of the stent into the stomach were noticed. The standard gastroscope (9.8 mm) was easily inserted into the gastric chamber. In order to facilitate the use of the proximal lasso system to close the proximal end of the stent, the standard gastroscope was switched to the therapeutical scope, and a 10-Fr biliary stent pusher was inserted into the largest operational channel followed by a grasp forceps ([Fig. 1]). The lasso was grasped and pulled back into the pusher while the endoscopist's assistant advanced it against the stent. This maneuver allowed the constraining of the proximal end of the stent, facilitating its removal ([Fig. 2] and [Video 1]).