Small bowel perforation due to a migrated esophageal stent Report of a rare case and review of the literature

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dc.contributor.authorKarağül, Servet
dc.contributor.authorYağcı, Mehmet Ali
dc.contributor.authorAra, Cengiz
dc.contributor.authorTardu, Ali
dc.contributor.authorErtugrul, İsmail
dc.date.accessioned2018-02-05T12:43:46Z
dc.date.available2018-02-05T12:43:46Z
dc.date.issued2015
dc.departmentİnönü Üniversitesien_US
dc.descriptionInternational Journal of Surgery Case Reports 11 (2015) 113–116.en_US
dc.description.abstractINTRODUCTION: Endoscopic esophageal stent placement is used to treat benign strictures, esophageal perforations, fistulas and for palliative therapy of esophageal cancer. Although stent placement is safe and effective method, complications are increasing the morbidity and mortality rate.We aimed to present a patient with small bowel perforation as a consequence of migrated esophageal stent. PRESENTATION OF CASE:A 77-years-old woman was admitted with complaints of abdominal pain, abdominal distension, and vomiting for two days. Her past medical history included a pancreaticoduodenectomy for pancreatic tumor 11 years ago, a partial esophagectomy for distal esophageal cancer 6 months ago and an esophageal stent placement for esophageal anastomotic stricture 2 months ago. On abdominal examination, there was generalized tenderness with rebound. Computed tomography showed the stent had migrated. Laparotomy revealed a perforation localized in the ileum due to the migrated esophageal stent. About 5 cm perforated part of gut resected and anastomosis was done. The patient was exitus fifty-five days after operation due to sepsis. DISCUSSION: Small bowel perforation is a rare but serious complication of esophageal stent migration. Resection of the esophagogastric junction facilitates the migration of the stent. The lumen of stent is often allow to the passage in the gut, so it is troublesome to find out the dislocation in an early period to avoid undesired results. In our case, resection of the esophagogastric junction was facilitated the migration of the stent and late onset of the symptoms delayed the diagnosis. CONCLUSION: Patients with esophageal stent have to follow up frequently to preclude delayed complications. Additional technical procedures are needed for the prevention of stent migration. © 2015 The Authors. Published by Elsevier Ltd. on behalf of Surgical Associates Ltd. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).en_US
dc.identifier.citationServet, K., Mehmet Ali, Y., Cengiz, A., Ali, T., İsmail, E., Serdar, K., Fatih, S. (2015). Small bowel perforation due to a migrated esophageal stent Report of a rare case and review of the literature.International Journal of Surgery Case Reports.en_US
dc.identifier.doi10.1016/j.ijscr.2015.04.030en_US
dc.identifier.endpage116en_US
dc.identifier.issue0en_US
dc.identifier.startpage113en_US
dc.identifier.urihttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4446686/pdf/main.pdf
dc.identifier.urihttps://hdl.handle.net/11616/8039
dc.identifier.volume11en_US
dc.language.isoenen_US
dc.publisherInternational Journal of Surgery Case Reportsen_US
dc.relation.ispartofInternational Journal of Surgery Case Reportsen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectEsophagus canceren_US
dc.subjectStent Migrationen_US
dc.subjectEsophagectomyen_US
dc.subjectEndoscopic interventionen_US
dc.titleSmall bowel perforation due to a migrated esophageal stent Report of a rare case and review of the literatureen_US
dc.typeArticleen_US

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