Korean J Gastrointest Endosc.
2008 Jun;36(6):366-370.
A Case of Esophageal Perforation Cured by Conservative Management after Stent Insertion
- Affiliations
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- 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.