A 56-year-old woman with a total gastrectomy and an esophagojejunal anastomosis developed a severe stricture of the surgical anastomosis (l " Fig. 1). The stricture was radiologically dilated, resulting in perforation during the dilation maneuvers. The perforation was resolved nonsurgically. The stricture recurred, so we placed a covered metal stent that was removed after 2 months, but the stricture recurred again afterwards. In this situation, we decided to place the SX-Ella-BD (Ella-CS, s. r. o., Hradec KrµlovØ, Czech Republic)-a new polydioxanone
Temporary placement of FC-SEMS for benign perforations, fistulas, and leaks is feasible in sealing the leaks. All migrations could be solved endoscopically. It is very important to insert the stent before sepsis is established. This article also would be an addition to the growing body of literature supporting stenting as a good alternative if not standard approach to controlling these leaks.
The RAC and DBC both signify an advance in the description and differentiation of AP patients. Herein, we describe the complications of the disease independently associated to morbidity and mortality. Our findings are valuable not only when designing future studies on AP but also for the improvement of current classifications.
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