Korean J Gastrointest Endosc.  2008 Jun;36(6):366-370.

A Case of Esophageal Perforation Cured by Conservative Management after Stent Insertion

Affiliations
  • 1Department of Internal Medicine, College of Medicine, Keimyung University, Daegu, Korea. chokb@dsmc.or.kr

Abstract

Esophageal cancer may induce progressive dysphagia. Insertion of a self-expandable metallic stent is widely used to relieve dysphagia. There are previous case reports that have described the use of membrane-covered stents to seal esophageal perforations. Complications of the use of an esophageal stent include bleeding, fistula formation, perforation, pain, tumor ingrowth and migration of the stent. A perforation may occur during or after the insertion of a stent from a contact ulcer due to the sharp ends of the metallic stents. We report a case of esophageal perforation after the insertion of a membrane-covered esophageal stent, which showed perforation at the middle portion of stent due to expansion of the stent. The perforation was sealed without surgical treatment or additional stent insertion.

Keyword

Esophagus; Stent; Perforation

MeSH Terms

Deglutition Disorders
Esophageal Neoplasms
Esophageal Perforation
Esophagus
Fistula
Hemorrhage
Stents
Ulcer
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