Fixation of an esophageal stent using a novel re-openable endoclip for a tracheoesophageal fistula.

Kubota, Yo; Nishiyama, Ryu; Sasaki, Masaya; Sakabe, Yuta; Doi, Kusutaro; Kitagawa, Hiroyuki; Kikuchi, Hidehiko; Kusano, Chika

Kubota, Yo; Nishiyama, Ryu; Sasaki, Masaya; Sakabe, Yuta; Doi, Kusutaro; Kitagawa, Hiroyuki; Kikuchi, Hidehiko; Kusano, Chika.

Afiliación

Kubota Y; Department of Gastroenterology Hiratsuka Kyosai Hospital Federation of National Public Service Personnel Mutual Aid Associations Kanagawa Japan.
Nishiyama R; Department of Gastroenterology Hiratsuka Kyosai Hospital Federation of National Public Service Personnel Mutual Aid Associations Kanagawa Japan.
Sasaki M; Department of Gastroenterology Hiratsuka Kyosai Hospital Federation of National Public Service Personnel Mutual Aid Associations Kanagawa Japan.
Sakabe Y; Department of Gastroenterology Hiratsuka Kyosai Hospital Federation of National Public Service Personnel Mutual Aid Associations Kanagawa Japan.
Doi K; Department of Gastroenterology Hiratsuka Kyosai Hospital Federation of National Public Service Personnel Mutual Aid Associations Kanagawa Japan.
Kitagawa H; Department of Gastroenterology Hiratsuka Kyosai Hospital Federation of National Public Service Personnel Mutual Aid Associations Kanagawa Japan.
Kikuchi H; Department of Gastroenterology Hiratsuka Kyosai Hospital Federation of National Public Service Personnel Mutual Aid Associations Kanagawa Japan.
Kusano C; Department of Gastroenterology Kitasato University School of Medicine Kanagawa Japan.

Article en En | MEDLINE | ID: mdl-38434147

ABSTRACT

ABSTRACT

Although esophageal stenting is one treatment option as a palliative treatment for tracheoesophageal fistulas, serious complications are associated with stent migration. Some reports have described stent fixation using various devices to prevent stent migration. However, these have yet to be sufficiently examined. We performed esophageal stent fixation using the MANTIS Clip (Boston Scientific), a novel re-openable endoclip. An 89-year-old man developed a tracheoesophageal fistula after radiotherapy for esophageal squamous cell carcinoma. Esophageal stenting was considered because the patient had difficulty with oral intake. However, the patient had a mild stenosis, which suggested stent migration. Therefore, we performed esophageal stent fixation by grasping the mouth side of the stent and the normal mucosa of the esophagus with the MANTIS Clip after placement of the stent. The esophageal stent closed the fistula, and the patient was able to take food orally. Upper gastrointestinal endoscopy performed 3 weeks after stenting showed residual MANTIS Clip and no evidence of stent migration. Esophageal stent fixation with MANTIS clips for tracheoesophageal fistulas may be an option to prevent stent migration.

Palabras clave

endoclip; esophageal squamous cell carcinoma; esophageal stent; fixation; tracheoesophageal fistula

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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Año: 2024 Tipo del documento: Article Pais de publicación: Australia