Combined endoscopic stenting and laparoscopic stent fixation for benign gastric tube stricture after esophagectomy: a case report
Abstract Background There are several options for the treatment of gastrointestinal stricture, including endoscopic stent placement and bypass surgery. However, a benign stricture is difficult to manage in a reconstructed gastric tube in the thoracic cavity owing to the technical difficulty of bypas...
| Main Authors: | , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
SpringerOpen
2023-11-01
|
| Series: | Surgical Case Reports |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s40792-023-01787-5 |
| _version_ | 1797414150198001664 |
|---|---|
| author | Koji Shindo Kenoki Ohuchida Tomohiro Nagasue Taiki Moriyama Fumika Goto Koji Tamura Kinuko Nagayoshi Yusuke Mizuuchi Naoki Ikenaga Kohei Nakata Masafumi Nakamura |
| author_facet | Koji Shindo Kenoki Ohuchida Tomohiro Nagasue Taiki Moriyama Fumika Goto Koji Tamura Kinuko Nagayoshi Yusuke Mizuuchi Naoki Ikenaga Kohei Nakata Masafumi Nakamura |
| author_sort | Koji Shindo |
| collection | DOAJ |
| description | Abstract Background There are several options for the treatment of gastrointestinal stricture, including endoscopic stent placement and bypass surgery. However, a benign stricture is difficult to manage in a reconstructed gastric tube in the thoracic cavity owing to the technical difficulty of bypass surgery, and the possibility of stent migration. Case presentation A 78-year-old woman was admitted to our hospital for treatment for her inability to eat. She had undergone video-assisted subtotal esophagectomy with retromediastinal gastric tube reconstruction 7 years earlier. At the current admission, there was a severely dilated gastric tube in the thoracic cavity with a soft stricture immediately anterior to the spine. Conservative therapy was ineffective; therefore, endoscopic stenting was performed. However, the stent migrated to the upper side of the stricture because the stricture was mild, and the stent was not fixed in the gastric tube. Next, endoscopic stent placement followed by laparoscopic stent fixation was performed. The stent was patent and worked well, and the patient’s body weight increased. However, the stent collapsed 2 years later, with recurrence of symptoms. Stent-in-stent placement with an over-the-scope clip was performed, and the second stent was also patent and worked well. Conclusions Laparoscopic stent fixation with endoscopic stent placement could be an effective option for patients with a benign stricture in the reconstructed gastric tube. |
| first_indexed | 2024-03-09T05:28:57Z |
| format | Article |
| id | doaj.art-0bd25c97ea6544d086a254f9ce1fcca1 |
| institution | Directory Open Access Journal |
| issn | 2198-7793 |
| language | English |
| last_indexed | 2024-03-09T05:28:57Z |
| publishDate | 2023-11-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | Surgical Case Reports |
| spelling | doaj.art-0bd25c97ea6544d086a254f9ce1fcca12023-12-03T12:34:13ZengSpringerOpenSurgical Case Reports2198-77932023-11-01911710.1186/s40792-023-01787-5Combined endoscopic stenting and laparoscopic stent fixation for benign gastric tube stricture after esophagectomy: a case reportKoji Shindo0Kenoki Ohuchida1Tomohiro Nagasue2Taiki Moriyama3Fumika Goto4Koji Tamura5Kinuko Nagayoshi6Yusuke Mizuuchi7Naoki Ikenaga8Kohei Nakata9Masafumi Nakamura10Department of Surgery and Oncology, Kyushu UniversityDepartment of Surgery and Oncology, Kyushu UniversityDepartment of Medicine and Clinical Science, Kyushu UniversityDepartment of Surgery and Oncology, Kyushu UniversityDepartment of Surgery and Oncology, Kyushu UniversityDepartment of Surgery and Oncology, Kyushu UniversityDepartment of Surgery and Oncology, Kyushu UniversityDepartment of Surgery and Oncology, Kyushu UniversityDepartment of Surgery and Oncology, Kyushu UniversityDepartment of Surgery and Oncology, Kyushu UniversityDepartment of Surgery and Oncology, Kyushu UniversityAbstract Background There are several options for the treatment of gastrointestinal stricture, including endoscopic stent placement and bypass surgery. However, a benign stricture is difficult to manage in a reconstructed gastric tube in the thoracic cavity owing to the technical difficulty of bypass surgery, and the possibility of stent migration. Case presentation A 78-year-old woman was admitted to our hospital for treatment for her inability to eat. She had undergone video-assisted subtotal esophagectomy with retromediastinal gastric tube reconstruction 7 years earlier. At the current admission, there was a severely dilated gastric tube in the thoracic cavity with a soft stricture immediately anterior to the spine. Conservative therapy was ineffective; therefore, endoscopic stenting was performed. However, the stent migrated to the upper side of the stricture because the stricture was mild, and the stent was not fixed in the gastric tube. Next, endoscopic stent placement followed by laparoscopic stent fixation was performed. The stent was patent and worked well, and the patient’s body weight increased. However, the stent collapsed 2 years later, with recurrence of symptoms. Stent-in-stent placement with an over-the-scope clip was performed, and the second stent was also patent and worked well. Conclusions Laparoscopic stent fixation with endoscopic stent placement could be an effective option for patients with a benign stricture in the reconstructed gastric tube.https://doi.org/10.1186/s40792-023-01787-5Laparoscopic stent fixationStent migrationBenign strictureGastric tube reconstructionVideo-assisted subtotal esophagectomy |
| spellingShingle | Koji Shindo Kenoki Ohuchida Tomohiro Nagasue Taiki Moriyama Fumika Goto Koji Tamura Kinuko Nagayoshi Yusuke Mizuuchi Naoki Ikenaga Kohei Nakata Masafumi Nakamura Combined endoscopic stenting and laparoscopic stent fixation for benign gastric tube stricture after esophagectomy: a case report Surgical Case Reports Laparoscopic stent fixation Stent migration Benign stricture Gastric tube reconstruction Video-assisted subtotal esophagectomy |
| title | Combined endoscopic stenting and laparoscopic stent fixation for benign gastric tube stricture after esophagectomy: a case report |
| title_full | Combined endoscopic stenting and laparoscopic stent fixation for benign gastric tube stricture after esophagectomy: a case report |
| title_fullStr | Combined endoscopic stenting and laparoscopic stent fixation for benign gastric tube stricture after esophagectomy: a case report |
| title_full_unstemmed | Combined endoscopic stenting and laparoscopic stent fixation for benign gastric tube stricture after esophagectomy: a case report |
| title_short | Combined endoscopic stenting and laparoscopic stent fixation for benign gastric tube stricture after esophagectomy: a case report |
| title_sort | combined endoscopic stenting and laparoscopic stent fixation for benign gastric tube stricture after esophagectomy a case report |
| topic | Laparoscopic stent fixation Stent migration Benign stricture Gastric tube reconstruction Video-assisted subtotal esophagectomy |
| url | https://doi.org/10.1186/s40792-023-01787-5 |
| work_keys_str_mv | AT kojishindo combinedendoscopicstentingandlaparoscopicstentfixationforbenigngastrictubestrictureafteresophagectomyacasereport AT kenokiohuchida combinedendoscopicstentingandlaparoscopicstentfixationforbenigngastrictubestrictureafteresophagectomyacasereport AT tomohironagasue combinedendoscopicstentingandlaparoscopicstentfixationforbenigngastrictubestrictureafteresophagectomyacasereport AT taikimoriyama combinedendoscopicstentingandlaparoscopicstentfixationforbenigngastrictubestrictureafteresophagectomyacasereport AT fumikagoto combinedendoscopicstentingandlaparoscopicstentfixationforbenigngastrictubestrictureafteresophagectomyacasereport AT kojitamura combinedendoscopicstentingandlaparoscopicstentfixationforbenigngastrictubestrictureafteresophagectomyacasereport AT kinukonagayoshi combinedendoscopicstentingandlaparoscopicstentfixationforbenigngastrictubestrictureafteresophagectomyacasereport AT yusukemizuuchi combinedendoscopicstentingandlaparoscopicstentfixationforbenigngastrictubestrictureafteresophagectomyacasereport AT naokiikenaga combinedendoscopicstentingandlaparoscopicstentfixationforbenigngastrictubestrictureafteresophagectomyacasereport AT koheinakata combinedendoscopicstentingandlaparoscopicstentfixationforbenigngastrictubestrictureafteresophagectomyacasereport AT masafuminakamura combinedendoscopicstentingandlaparoscopicstentfixationforbenigngastrictubestrictureafteresophagectomyacasereport |