Post-oesophagectomy gastric conduit outlet obstruction following caustic ingestion, endoscopic management using a SX-ELLA biodegradable stent: A case report.
: Biodegradable
Case report
Oesophagectomy
Stent
Journal
World journal of gastrointestinal endoscopy
ISSN: 1948-5190
Titre abrégé: World J Gastrointest Endosc
Pays: United States
ID NLM: 101532474
Informations de publication
Date de publication:
16 May 2019
16 May 2019
Historique:
received:
28
02
2019
revised:
23
04
2019
accepted:
01
05
2019
entrez:
18
6
2019
pubmed:
18
6
2019
medline:
18
6
2019
Statut:
ppublish
Résumé
Benign oesophageal strictures secondary to caustic ingestion are rare and difficult to manage. They often present with symptoms such as chest pain, dysphagia and vomiting. Surgical resection is often not justified in majority of these cases who later presents with recurrent benign stricture. We present a unique case of a patient who presented with post-oesophagectomy gastric conduit outlet obstruction (POGO) secondary to caustic ingestion. Our patient had already undergone two stage oesophagectomy with pyloroplasty for operable oesophageal cancer with curative intent 5 years prior. This is a distinctive case, where a successful deployment of a SX-ELLA biodegradable (BD) stent (019-10A-28/23/28-080) after failed dilatations. We have briefly reviewed literature with regards to the role BD stents in patients with recurrent benign stricture and discussed management dilemma. We recommend the attending gastroenterologist should bear the usefulness of BD stents in the management of refractory POGO after oesophagectomy.
Sections du résumé
BACKGROUND
BACKGROUND
Benign oesophageal strictures secondary to caustic ingestion are rare and difficult to manage. They often present with symptoms such as chest pain, dysphagia and vomiting. Surgical resection is often not justified in majority of these cases who later presents with recurrent benign stricture.
CASE SUMMARY
METHODS
We present a unique case of a patient who presented with post-oesophagectomy gastric conduit outlet obstruction (POGO) secondary to caustic ingestion. Our patient had already undergone two stage oesophagectomy with pyloroplasty for operable oesophageal cancer with curative intent 5 years prior. This is a distinctive case, where a successful deployment of a SX-ELLA biodegradable (BD) stent (019-10A-28/23/28-080) after failed dilatations. We have briefly reviewed literature with regards to the role BD stents in patients with recurrent benign stricture and discussed management dilemma.
CONCLUSION
CONCLUSIONS
We recommend the attending gastroenterologist should bear the usefulness of BD stents in the management of refractory POGO after oesophagectomy.
Identifiants
pubmed: 31205600
doi: 10.4253/wjge.v11.i5.389
pmc: PMC6556488
doi:
Types de publication
Case Reports
Langues
eng
Pagination
389-394Déclaration de conflit d'intérêts
Conflict-of-interest statement: Nothing to disclose.
Références
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