A Case of Stenotic Change from Gastric Candidiasis Managed with Temporary Stent Insertion

Abstract

Invasive gastric Candida infection in patient with co-morbidity can cause stenotic change if it is developed at anatomically narrowing portion, such as distal antrum, pylorus, or duodenal bulb. However, proper management of benign stenosis by diffuse gastric Candidasis is still under controversy and palliative bypass surgery has several shortcomings because high risk operative group may be included in this case. Palliative placement of self-expandable metallic stent has been settled as a standard management of malignant gastric pyloric obstruction and it is expected to be applied in benign stenotic lesions due to its gradual dilation effect. We described a case of stenosis by diffuse gastric Candidasis at anastomosis of subtotal gastrectomy, which was managed by temporary placement of self-expandable metallic stent.

Evidence-Based Recommendations on Upper Gastrointestinal Tract Stenting: A Report from the Stent Study Group of the Korean Society of Gastrointestinal Endoscopy

“…Temporary removable endoscopic stent might be an effective treatment for benign gastric outlet obstruction caused by recurrent duodenal ulcer, postoperative stricture after gastroduodenostomy, or iatrogenic stricture after endoscopic resection 140,141. However, routine use of stent placement cannot be recommended for benign gastric outlet obstruction due to lack of data from large prospective randomized controlled studies.…”

Adhering to quality medical care: a case report of upper gastrointestinal bleeding due to self-expandable metal stent placed for benign duodenal obstruction

“…Self-expandable metal stent (SEMS)designated originally for the treatment of malignant obstructive lesions-represent a sophisticated therapeutic option (1). To date, several reports of SEMS placement for benign pyloric stenosis have been published; however, data regarding their long term efficacy and safety in particular, remain limited (2)(3)(4)(5)(6). Herein, we present the management of a late onset stent induced iatrogenic complication in a patient suffering from peptic ulcer disease consequence, aiming to underline that innovation does not necessarily correlate with quality of care.…”

Question of an Infectious Etiology or Contribution to the Pathogenesis of Infantile Hypertrophic Pyloric Stenosis

“…A case report described stenotic change in the gastric pylorus of a 69-year-old man infected with invasive gastric candidiasis (26). A case report described stenotic change in the gastric pylorus of a 69-year-old man infected with invasive gastric candidiasis (26).…”

“…A number of additional theoretical infectious etiologies exist for hypertrophic pyloric stenosis as supported by case reports from the adult patient population, although none have been investigated in the pediatric context. A case report described stenotic change in the gastric pylorus of a 69-year-old man infected with invasive gastric candidiasis (26). Notably, gastric fungal colonization has been reported due to hypoacidity secondary to the use of proton pump inhibitors (27).…”